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Pancreatic Abscess

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1. Ectopic Pancreas in the Gastric Antrum Wall Complicated by Ectopic Pancreatitis and Persistent Gastric Abscess (PubMed)

Ectopic Pancreas in the Gastric Antrum Wall Complicated by Ectopic Pancreatitis and Persistent Gastric Abscess Ectopic pancreas is an uncommon finding in the stomach. Complications are rare but can lead to significant morbidity and even mortality. We report a 49-year-old man who presented with upper abdominal pain, vomiting, and weight loss and was found to have a gastric wall abscess that developed a few weeks after endoscopic biopsy of a gastric ulcer. After medical treatment failed (...) to resolve his symptoms, he underwent distal gastrectomy with Roux-en-Y gastrojejunostomy. Postoperatively, the gastric wall abscess was determined to have derived from a focus of ectopic pancreatic tissue with evidence of ectopic chronic pancreatitis.

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2018 ACG case reports journal

2. Liver abscess

Liver abscess Liver abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Liver abscess Last reviewed: February 2019 Last updated: March 2018 Summary A localised infection in the liver parenchyma that may be bacterial, fungal, or parasitic in origin. Patients typically present with non-specific constitutional symptoms, RUQ abdominal pain, and tenderness. The most common underlying condition in people with pyogenic (...) liver abscess is biliary tract disease. Treatment of pyogenic abscess focuses on both timely administration of broad-spectrum antibiotics and drainage of the abscess. People with fungal abscess require anticandidal therapy. Amoebic abscess is treated with a nitroimidazole, followed by a luminal agent. Definition Liver abscesses are purulent collections in the liver parenchyma that result from bacterial, fungal, or parasitic infection. Infection can spread to the liver through the biliary tree

2018 BMJ Best Practice

3. Pancreatic Abscess in a cat due to Staphylococcus aureus infection (PubMed)

Pancreatic Abscess in a cat due to Staphylococcus aureus infection A 16-year-old spayed female American Shorthair cat was presented with lethargy, anorexia, and wamble. Physical and blood examination did not reveal any remarkable findings. Abdominal ultrasonography identified the presence of a localized anechoic structure with a thick wall in contact with the small intestine and adjacent to the liver. Ultrasound-guided fine-needle aspiration of the structure revealed fluid containing numerous (...) cocci and neutrophils. Two days after antibiotic treatment, exploratory laparotomy was performed and the content of the structure was removed before multiple lavages. The pathological and bacteriological examination results supported a confirmatory diagnosis of pancreatic abscess due to Staphylococcus aureus infection, making this the first such report in a cat. The cat remained healthy thereafter with no disease recurrence.

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2017 The Journal of Veterinary Medical Science

4. ACR/SIR/SPR Practice Parameter for Specifications and Performance of Image-Guided Percutaneous Drainage/Aspiration of Abscesses and Fluid Collections (PDAFC)

complex situations include multiple or multiloculated abscesses, abscess due to Crohn’s disease, pancreatic abscesses, a drainage route that traverses the bowel or pleura, infected hematoma, and tumor abscess. Articles have documented curative or partially successful percutaneous drainage in patients with these complex situations [23-31]. However, one should expect that percutaneous drainage in such cases will potentially have a lower chance of success, be more technically difficult, require longer (...) drainage for pancreatic pseudocysts in a transcutaneous or transgastric fashion versus by endoscopic ultrasound should be made in collaboration with the referring physician [39]. For other abscesses that are incompletely drained after PDAFC, some have reported success with adjunctive intracavitary fibrinolytics and/or adjunctive procedures such as upsizing to a larger catheter or one with additional side holes [40,41]. Decisions regarding percutaneous versus surgical drainage of complex collections

2018 Society of Interventional Radiology

5. Pancreatic Lesion: Malignancy or Abscess? (PubMed)

Pancreatic Lesion: Malignancy or Abscess? Pancreatic abscesses are rare. They may be seen in patients with pancreatic inflammation or pancreatitis. Patients with pancreatic abscesses may have abdominal pain, fever, chills, and nausea/vomiting or an inability to eat. Presentation with alternate symptomatology is extremely unusual.A 67-year-old Asian male presented with painless, afebrile obstructive jaundice and a CA 19-9 of 1732 IU. He was found to have a 3.1×2.4 cm low-density lesion (...) in the head of the pancreas and the right lobe of the liver, suggesting malignancy. Surgical management was considered, however additional diagnostic workup, including an endoscopic retrograde cholangiopancreatography (ERCP), was performed to complete staging of the presumed mass. A smooth, 3-cm-long, tapering stricture was found it the common bile duct. It was stented from the common hepatic duct to the duodenum. Subsequent endoscopic ultrasound (EUS) evaluation of the pancreatic head lesion revealed

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2016 The American journal of case reports

6. Association between Chronic Pancreatitis and Pyogenic Liver Abscess: A Nationwide Population Study. (PubMed)

Association between Chronic Pancreatitis and Pyogenic Liver Abscess: A Nationwide Population Study. The relationship between chronic pancreatitis (CP) and subsequent pyogenic liver abscess (PLA) is not well understood.We investigated the risk of PLA in patients with CP using inpatient claims data from the Taiwan National Health Insurance Program for the period 2000-2010. We identified 17,810 patients with chronic pancreatitis (CP group) and 71,240 patients without CP (non-CP group). Both

2016 Current medical research and opinion

7. Pancreatic Abscess

Pancreatic Abscess Pancreatic Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pancreatic Abscess Pancreatic Abscess Aka (...) : Pancreatic Abscess From Related Chapters II. Pathophysiology Complication of III. Associated Conditions IV. Etiology (most common cause) V. Signs Rapid deterioration following VI. Labs (CBC) VII. Diagnosis CT-guided needle aspiration VIII. Management Surgical drainage of abscess Antibiotics Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pancreatic Abscess." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

8. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy. (PubMed)

Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy. Pancreatoduodenectomy is a surgical procedure used to treat diseases of the pancreatic head and, less often, the duodenum. The most common disease treated is cancer, but pancreatoduodenectomy is also used for people with traumatic lesions and chronic pancreatitis. Following pancreatoduodenectomy, the pancreatic stump must be connected (...) with the small bowel where pancreatic juice can play its role in food digestion. Pancreatojejunostomy (PJ) and pancreatogastrostomy (PG) are surgical procedures commonly used to reconstruct the pancreatic stump after pancreatoduodenectomy. Both of these procedures have a non-negligible rate of postoperative complications. Since it is unclear which procedure is better, there are currently no international guidelines on how to reconstruct the pancreatic stump after pancreatoduodenectomy, and the choice

2017 Cochrane

9. Pancreatic Necrosis and Pancreatic Abscess (Treatment)

Pancreatic Necrosis and Pancreatic Abscess (Treatment) Pancreatic Necrosis and Pancreatic Abscess Treatment & Management: Medical Care, Surgical Care, Diet and Activity Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTgxMjY0LXRyZWF0bWVudA== processing > Pancreatic Necrosis and Pancreatic Abscess Treatment & Management Updated: Jan 25, 2017 Author: Abraham Mathew, MD, MS; Chief Editor: BS Anand, MD Share Email Print Feedback Close Sections Sections Pancreatic Necrosis and Pancreatic Abscess Treatment Medical Care In the acute phase of pancreatitis, the medical care of patients with evidence of pancreatic necrosis is no different from that of those without necrosis. Intravenous hydration aimed at maintaining the patient's

2014 eMedicine.com

10. Pancreatic Necrosis and Pancreatic Abscess (Overview)

Pancreatic Necrosis and Pancreatic Abscess (Overview) Pancreatic Necrosis and Pancreatic Abscess: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTgxMjY0LW92ZXJ2aWV3 (...) processing > Pancreatic Necrosis and Pancreatic Abscess Updated: Jan 25, 2017 Author: Abraham Mathew, MD, MS; Chief Editor: BS Anand, MD Share Email Print Feedback Close Sections Sections Pancreatic Necrosis and Pancreatic Abscess Overview Background Fluid and necrotic collections can occur as complications of acute pancreatitis. According to the latest classification, these can be divided into acute or delayed, depending on whether such a collection is of less than or more than 4 weeks' duration

2014 eMedicine.com

11. Pancreatic Necrosis and Pancreatic Abscess (Follow-up)

Pancreatic Necrosis and Pancreatic Abscess (Follow-up) Pancreatic Necrosis and Pancreatic Abscess Treatment & Management: Medical Care, Surgical Care, Diet and Activity Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTgxMjY0LXRyZWF0bWVudA== processing > Pancreatic Necrosis and Pancreatic Abscess Treatment & Management Updated: Jan 25, 2017 Author: Abraham Mathew, MD, MS; Chief Editor: BS Anand, MD Share Email Print Feedback Close Sections Sections Pancreatic Necrosis and Pancreatic Abscess Treatment Medical Care In the acute phase of pancreatitis, the medical care of patients with evidence of pancreatic necrosis is no different from that of those without necrosis. Intravenous hydration aimed at maintaining the patient's

2014 eMedicine.com

12. Pancreatic Necrosis and Pancreatic Abscess (Diagnosis)

Pancreatic Necrosis and Pancreatic Abscess (Diagnosis) Pancreatic Necrosis and Pancreatic Abscess: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTgxMjY0LW92ZXJ2aWV3 (...) processing > Pancreatic Necrosis and Pancreatic Abscess Updated: Jan 25, 2017 Author: Abraham Mathew, MD, MS; Chief Editor: BS Anand, MD Share Email Print Feedback Close Sections Sections Pancreatic Necrosis and Pancreatic Abscess Overview Background Fluid and necrotic collections can occur as complications of acute pancreatitis. According to the latest classification, these can be divided into acute or delayed, depending on whether such a collection is of less than or more than 4 weeks' duration

2014 eMedicine.com

13. Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy. (PubMed)

versus internal stentsThe effect of external stents on the risk of pancreatic fistula, reoperation, delayed gastric emptying, and intra-abdominal abscess compared with internal stents was uncertain due to low-quality evidence (fistula: RR 1.44, 0.94 to 2.21; 362 participants; 3 studies) (reoperation: RR 2.02, 95% CI 0.38 to 10.79; 319 participants; 3 studies) (gastric emptying: RR 1.65, 0.66 to 4.09; 362 participants; 3 studies) (abscess: RR 1.91, 95% CI 0.80 to 4.58; 362 participants; 3 studies (...) Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy. Several studies have demonstrated that the use of pancreatic duct stents following pancreaticoduodenectomy is associated with a lower risk of pancreatic fistula. However, to date there is a lack of accord in the literature on whether the use of stents is beneficial and, if so, whether internal or external stenting, with or without replacement, is preferable. This is an update of a systematic review.To determine

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2016 Cochrane

14. ESPGHAN and NASPGHAN Report on the Assessment of Exocrine Pancreatic Function and Pancreatitis in Children

diagnosis for hyperamylasemia includes intestinal obstruction, visceral perforation, tubo-ovarian abscess, renal failure, and salivary gland disease (79). Gene Mutations in Children With ARP and CP In 2001, the Third International Symposium of Inherited Diseases of the Pancreas recommended that in children with an unexplained, repeat episode of pancreatitis, genetic testing for cationic trypsinogen (PRSS1) mutations was warranted (83). Since 2001, other mutations have been implied in pancreatitis (...) ESPGHAN and NASPGHAN Report on the Assessment of Exocrine Pancreatic Function and Pancreatitis in Children Copyright 2015 by ESPGHAN and NASPGHAN. Unauthorized reproduction of this article is prohibited. ESPGHAN and NASPGHAN Report on the Assessment of Exocrine Pancreatic Function and Pancreatitis in Children Christopher J. Taylor, y Kathy Chen, z Karoly Horvath, David Hughes, § Mark E. Lowe, z Devendra Mehta, § Abrahim I. Orabi, jj Jeremy Screws, Mike Thomson, Stephanie Van Biervliet

2015 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

15. Pancreatic Injuries

and mortality, including acute hemorrhage, pancreatic leaks, abscesses, fistulae, and pancreatitis. [1] Estimates for the incidence of pancreatic injury range from 0.2% to 12% of abdominal traumas. [2–6] Many factors, such as patient stability, the acuity of concomitant life-threatening injuries, and the need for damage control procedures, must therefore be balanced when considering the proper approach to pancreatic injury management. Historically, injuries to the pancreas were described by injury location (...) , and pancreaticoduodenectomy. [18] Commonly reported complications have included fistulae, pseudocysts, intraabdominal abscesses, and pancreatitis. [9] Pancreaticoduodenectomy was recommended by Foley and Fry [18] in 1969 as an aggressive approach for destructive pancreatic head injuries to curtail bleeding and ensure removal of all devitalized tissue. More recent advancements in surgical trauma care have introduced additional strategies, such as increased use of nonoperative management, endoscopic stenting for ductal

2017 Eastern Association for the Surgery of Trauma

16. Classification of Acute Pancreatitis in the Pediatric Population: Clinical Report From the NASPGHAN Pancreas Committee

Classification of Acute Pancreatitis in the Pediatric Population: Clinical Report From the NASPGHAN Pancreas Committee Copyright © ESPGHAL and NASPGHAN. All rights reserved. Classification of Acute Pancreatitis in the Pediatric Population: Clinical Report From the NASPGHAN Pancreas Committee Maisam Abu-El-Haija, y Soma Kumar, z Flora Szabo, § Steven Werlin, jj Darwin Conwell, Peter Banks, and # Veronique D. Morinville, on behalf of the NASPGHAN Pancreas Committee ABSTRACT Introduction: Acute (...) pancreatitis (AP) is an emerging problem in pediatrics, with most cases resolving spontaneously. Approximately 10% to 30%, however, are believed to develop ‘‘severe acute pancreatitis’’ (SAP). Methods: This consensus statement on the classi?cation of AP in pediatrics was developed through a working group that performed an evidence-based search for classi?cation of AP in adult pancreatitis, de?nitions and criteria of systemic in?ammatory response syndrome, and organ failure in pediatrics. Results

2017 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

17. Pancreatic Necrosis, Surgical Management of

, Fagniez PL. Failure of percutaneous drainage of pancreatic abscesses complicating severe acute pancreatitis. Surg Gynecol Obstet . 1992;174(2):141–144. Aultman DF, Bilton BD, Zibari GB, McMillan RW, McDonald JC. Nonoperative therapy for acute necrotizing pancreatitis. Am Surg . 1997;63(12):1114–1117; discussion 1117–1118. Sunday ML, Schuricht AL, Barbot DJ, Rosato FE. Management of infected pancreatic fluid collections. Am Surg . 1994;60(1):63–67. Ross A, Gluck M, Irani S, Hauptmann E, Fotoohi M (...) Pancreatic Necrosis, Surgical Management of Pancreatic Necrosis, Surgical Management of - Practice Management Guideline Search » Pancreatic Necrosis, Surgical Management of Published 2017 Citation: Authors Mowery, Nathan T. MD; Bruns, Brandon R. MD; MacNew, Heather G. MD; Agarwal, Suresh MD; Enniss, Toby M. MD; Khan, Mansoor MBBS, PhD; Guo, Weidun Alan MD, PhD; Cannon, Jeremy W. MD; Lissauer, Matthew E. MD; Duane, Therese M. MD; Hildreth, Amy N. MD; Pappas, Peter A. MD; Gries, Lynn M. MD

2017 Eastern Association for the Surgery of Trauma

18. Pancreatic and Colonic Abscess Formation Secondary to HELLP Syndrome (PubMed)

Pancreatic and Colonic Abscess Formation Secondary to HELLP Syndrome Preeclampsia and the variant HELLP syndrome are systemic conditions associated with vascular changes resulting in vasoconstriction. Most commonly, patients present with elevated blood pressure and proteinuria, with a background of complaints such as headache, scotoma, and right upper quadrant pain. The systemic vascular changes experienced can target any organ system, oftentimes with more than one organ system being involved (...) . We present the case of a patient admitted with HELLP syndrome who subsequently developed multisystem organ dysfunction, including placental abruption, disseminated intravascular coagulopathy, acute renal failure, colitis, abdominal ascites, pancreatitis, and the development of pancreatic and colonic abscesses.

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2015 Case reports in obstetrics and gynecology

19. Pyogenic Liver Abscess and Risk of Acute Pancreatitis (PubMed)

Pyogenic Liver Abscess and Risk of Acute Pancreatitis 26155759 2015 09 15 2018 12 02 1349-9092 25 7 2015 Journal of epidemiology J Epidemiol Pyogenic Liver Abscess and Risk of Acute Pancreatitis. 505 10.2188/jea.JE20150075 Shen Hsiu-Nien HN Department of Intensive Care Medicine, Chi Mei Medical Center. eng Journal Article Comment Japan J Epidemiol 9607688 0917-5040 IM J Epidemiol. 2015;25(7):506 26155760 J Epidemiol. 2015;25(3):246-53 25716281 Female Humans Liver Abscess, Pyogenic epidemiology (...) Male Pancreatitis epidemiology 2015 7 10 6 0 2015 7 15 6 0 2015 9 16 6 0 ppublish 26155759 10.2188/jea.JE20150075 PMC4483377 J Epidemiol. 2015;25(3):246-53 25716281 Mol Cancer. 2007;6:15 17295918

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2015 Journal of Epidemiology

20. Splenic abscess following laparoscopic cholecystectomy: a case report of a rare disease and a review of its management (PubMed)

Splenic abscess following laparoscopic cholecystectomy: a case report of a rare disease and a review of its management Splenic abscess is a rare disease that has several predisposing factors. Case reports have documented post-surgical development of splenic abscesses, most commonly after laparoscopic sleeve gastrectomy. We present the case of a 69-year-old female with gallstone pancreatitis who underwent an uncomplicated laparoscopic cholecystectomy. The hospital course was complicated (...) by persistent postoperative leukocytosis with a CT scan demonstrating a moderate sized splenic abscess. Interventional radiology was consulted for percutaneous drainage, and the patient was subsequently discharged home in stable condition. Splenic abscess is an important entity to remember as it is associated with significant mortality. Prompt treatment is vital for improving patient survival. Image guided percutaneous interventions have been increasing used and carry numerous benefits compared to surgical

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2018 AME Case Reports

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