A cavity of pus within the pancreas.
Causes, incidence, and risk factors
Pancreatic abscess occurs in up to 5% of people with acute pancreatitis . An abscess may be caused by inadequate drainage of a pancreatic pseudocyst , which is a complication of pancreatitis .
Signs and tests
Physical examination may show signs of pancreatic inflammation, such as fever, abdominal tenderness, and a mass. Tests performed may include:
an abdominal CT scan
an abdominal ultrasound
Treatment
Percutaneous (through the skin) drainage of the abscess may be possible. Laparotomy with drainage and possible resection of dead tissue may be required.
Expectations (prognosis)
The outcome is related to the severity of the pancreatitis . The death rate from undrained pancreatic abscesses is very high.
Calling your health care provider
Call your health care provider if persistent abdominal pain with fever or other signs of pancreatic abscess develops; particularly if you have recently had a pancreatic pseudocyst .
Prevention
Adequate drainage of a pancreatic pseudocyst can help prevent some cases of this disorder. However, in many cases the disorder is not preventable.