Chapter 54: Pancreas- Pancreatic Abscess Flashcards
1
Q
What is it?
A
Infected peripancreatic purulent fluid collection
2
Q
What are the signs/symptoms?
A
- Fever
- unresolving pancreatitis
- epigastric mass
3
Q
What radiographic tests should be performed?
A
Abdominal CT scan with needle aspiration → send for Gram stain/culture
4
Q
What are the associated lab findings?
A
Positive Gram stain and culture of bacteria
5
Q
Which organisms are found in pancreatic abscesses?
A
Gram negative (most common):
- Escherichia coli
- Pseudomonas
- Klebsiella
Gram positive:
- Staphylococcus aureus
Candida
6
Q
What is the treatment?
A
Antibiotics and percutaneous drain placement or operative débridement and placement of drains
