Isolated Pyogenic Pancreatic Abscess Successfully Treated via Endoscopic Ultrasound-guided Drainage.
10.4166/kjg.2017.69.5.321
- Author:
Jung Yeop LEE
1
;
Tae Hyeon KIM
;
Hyung Ku CHON
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. gipb2592@wku.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreas;
Abscess;
Drainage
- MeSH:
Abscess*;
Diagnosis;
Drainage*;
Humans;
Pancreas;
Pancreatitis;
Ultrasonography
- From:The Korean Journal of Gastroenterology
2017;69(5):321-324
- CountryRepublic of Korea
- Language:English
-
Abstract:
An isolated pyogenic pancreatic abscess (IPPA) without pancreatitis is extremely rare but can occur in patients with uncontrolled diabetes. This pathologic condition poses a clinical challenge in diagnosis and management because it can be confused easily with a malignancy. Endoscopic ultrasound (EUS) may be a useful diagnostic modality for indeterminate pancreatic lesions and IPPA. Here, we report two cases with elevated carbohydrate antigen 19-9 levels and pancreatic masses on cross sectional imaging. The patients were subsequently diagnosed with IPPA by EUS. EUS-guided drainage was performed successfully and the patients' clinical symptoms and radiologic findings improved. In our experience, EUS and EUS-guided drainage are crucial steps for the diagnosis and management of patients with an indeterminate pancreatic lesion. In addition, EUS-guided drainage has excellent technical and clinical outcomes for the treatment of IPPA.
