Abstract
Most publications consider pancreatic abscess a rare complication in acute pancreatitis, occurring with a frequency of only 1%–4% [1–7]. Only 103 cases are described in the literature up to 1967 [8]. Today, however, pancreatic abscess is gaining increasing importance. Although many authors still underestimate its significance, it is now acknowledged to be one of the most dangerous complications [9] and the commonest cause of death in acute pancreatitis [10]. It is therefore necessary to develop better methods for the prevention, early diagnosis and therapeutic management of this complication. This in turn raises the problem that no generally accepted definition of pancreatic abscess exists to date [11]. Where some authors think that only localized collection of pus in the pancreatic or peripancreatic region constitutes an abscess, others define it as any kind of local septic complication in acute pancreatitis, including even bacterially contaminated necrosis without any significant pus formation [10, 12].
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References
Altemeier WA, Alexander JW (1963) Pancreatic abscess. Arch Surg 87:80–89
Aranha GV, Prinz RA, Greenlee HB (1982) Pancreatic abscess: an unresolved surgical problem. Am J Surg 144:534–538
Becker JM, Pemberton JH, Di Magno EP, Ilstrup DM, Mcllrath DC, Dozois RR (1984) Prognostic factors in pancreatic abscess. Surgery 96:455–460
Evans FC (1969) Pancreatic abscess. Am J Surg 117:537–540
Farringer JL, Robbins LB, Pickens DR (1966) Abscesses of the pancreas. Surgery 60:964–970
Frey CF, Lindenauer SM, Miller TA (1979) Pancreatic abscess. Surg Gynecol Obstet 149:722–726
Jones CE, Polk HC, Fulton RL (1975) Pancreatic abscess. Am J Surg 129:44–47
Steedman RA, Doering R, Carter R (1967) Surgical aspects of pancreatic abscess. Surg Gynecol Obstet 125:757–762
Bolooki H, Jaffe B, Gliedman ML (1968) Pancreatic abscesses and lesser omental sac collections. Surg Gynecol Obstet 126:1301–1308
Ranson JHC, Balthazar E, Caccavale R, Cooper M (1985) Computed tomography and the prediction of pancreatic abscess in acute pancreatitis. Ann Surg 201:656–665
Donahue PE, Nyhus LM, Baker RJ (1980) Pancreatic abscess after alcoholic pancreatitis. Arch Surg 115:905–909
Sostre CF, Flournoy JG, Bova JG, Goldstein HM, Schenker S (1985) Pancreatic phlegmon. Dig Dis Sci 30:918–927
Beger HG, Block S, Krautzberger W, Bittner R (1982) Die nekrotisierende Pankreatitis. Chirurg 53:784–789
Beger H, Büchler M, Bittner R, Oettinger W, Block S, Nevalainen TJ (1986) Necrosectomy and postoperative local lavage in patients with necrotizing pancreatitis: results of a prospective clinical trial (this volume)
Büchler M, Block S, Krautzberger W, Bittner R, Beger HG (1985) Nekrotisierende Pankreatitis: Peritoneal-Lavage oder Bursa-Lavage? Chirurg 56:247–250
Beger HG, Bittner R (1986) The significance of bacterial contamination in acute pancreatitis (this volume)
Warshaw AL (1972) Pancreatic abscesses. N Engl J Med 287:1234–1236
Beger HG, Krautzberger W, Bittner R, Block S, Büchler M (1985) Results of surgical treatment of necrotizing pancreatitis. World J Surg 9:972–979
Bradley EL III, Fulenwider JT (1984) Open treatment of pancreatic abscess. Surg Gynecol Obstet 159:509–513
Shi ECP, Yeo BW, Ham JM (1984) Pancreatic abscesses. Br J Surg 71:689–691
Warshaw AL (1974) Inflammatory masses following acute pancreatitis. Surg Clin North Am 54:621–635
Anderson WAD (ed) (1971) Pathology, 6th edn. Mosby, St. Louis, pp 47–48
Hamperl H (1968) Lehrbuch der allgemeinen Pathologie und der pathologischen Anatomie, 28th edn. Springer, Berlin Heidelberg New York
Holden JL, Berne TV, Rosoff L (1976) Pancreatic abscess following acute pancreatitis. Arch Surg 111:858–861
Lempinen M (1986) Extended pancreatic necroses (this volume)
Maier W (1986) Early objective diagnosis and staging of acute pancreatitis by contrast enhanced CT (this volume)
Banks PA (1986) Indication, results and consequences of fine needle aspiration of pancreatic exudate (this volume)
Gerzof SG, Johnson WC, Robbins AH, Spechler SJ, Nabseth DC (1984) Percutaneous drainage of infected pancreatic pseudocysts. Arch Surg 119:888–893
Glazer G, Dudley HAF (1984) Pancreatic abscess: an incomplete descriptive phrase. Br J Surg 71:401 (letter)
Barkin JS, Pereiras R, Hill M, Levi J, Isikoff M, Rogers AI (1982) Diagnosis of pancreatic abscess via percutaneous aspiration. Dig Dis Sci 27:1011–1014
Crass RA, Meyer AA, Jeffrey RB, Federle MP, Grendell JH, Wing VW, Trunkey DD (1985) Pancreatic abscess: impact of computerized tomography on early diagnosis and surgery. Am J Surg 150:127–131
Federle MP, Jeffrey RB, Crass RA, Dalsem VV (1981) Computed tomography of pancreatic abscesses. AJR 136:879–882
Hill MC, Dach JL, Barkin J, Isikoff MB, Morse B (1983) The role of percutaneous aspiration in the diagnosis of pancreatic abscess. AJR 141:1035–1038
Karlson KB, Martin EC, Fankuchen EI, Mattern RF, Schultz RW, Casarella WJ (1982) Percutaneous drainage of pancreatic pseudocysts and abscesses. Radiology 142:619–624
Gerzof SG, Robbins AH, Birkett DH, Johnson WC, Pugatch RD, Vincent ME (1979) Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and computed tomography. AJR 133:1–8
Gerzof SG, Robbins AH, Johnson WC, Birkett DH, Nabseth DC (1981) Percutaneous catheter drainage of abdominal abscesses. N Engl J Med 305:653–657
Grønvall J, Grønvall S, Hegedüs V (1977) Ultrasound-guided drainage of fluid-containing masses using angiographic catheterization techniques. AJR 129:997–1002
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Bittner, R., Block, S., Büchler, M., Beger, H.G. (1987). Pancreatic Abscess and Infected Pancreatic Necrosis: Different Local Septic Complications in Acute Pancreatitis. In: Beger, H.G., Büchler, M. (eds) Acute Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83027-3_30
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DOI: https://doi.org/10.1007/978-3-642-83027-3_30
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