Endoscopic treatment of a pancreatic abscess originating from biliary pancreatitis

Surg Endosc. 1990;4(4):227-9. doi: 10.1007/BF00316799.

Abstract

We present a case report of a patient with two large pancreatic abscesses and an associated colonic fistula originating from acute gallstone pancreatitis, which we treated endoscopically. The common bile duct stones were extracted after a papillotomy. The abscess in the pancreatic head was drained into the duodenum and the one in the pancreatic tail irrigated through a nasopancreatic catheter using normal saline mixed with gentamycin. The colonic fistula was finally obliterated using a two-component fibrin glue.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnostic imaging
  • Abscess / therapy*
  • Cholelithiasis / complications*
  • Cholelithiasis / diagnostic imaging
  • Colonic Diseases / complications
  • Colonic Diseases / diagnostic imaging
  • Colonic Diseases / therapy
  • Drainage / methods
  • Endoscopy, Digestive System*
  • Female
  • Fibrin Tissue Adhesive / therapeutic use
  • Humans
  • Intestinal Fistula / complications
  • Intestinal Fistula / diagnostic imaging
  • Intestinal Fistula / therapy
  • Middle Aged
  • Pancreatic Diseases / diagnostic imaging
  • Pancreatic Diseases / therapy*
  • Pancreatitis / complications*
  • Pancreatitis / diagnostic imaging
  • Radiography
  • Therapeutic Irrigation / methods

Substances

  • Fibrin Tissue Adhesive