Mazhar Iqbal, Mariam Malik, Sughra Perveen.
CT Guided Percutaneous Drainage of Pancreatic Abscess.
J Surg Pak Jan ;20(3):92-5.

Objective: To determine the outcome of CT guided percutaneous drainage of pancreatic abscess. Study design: Descriptive case series. Place & Duration of study: Department of General Surgery Unit I, Jinnah Postgraduate Medical Centre Karachi, from October 2011 to October 2015. Methodology: All patients with acute pancreatitis who developed pancreatic abscess which was diagnosed on clinical grounds and with CT scan abdomen underwent CT guided percutaneous drainage. Following aspiration fluid sent for culture and sensitivity and drain was placed in the abscess cavity. CT scan was repeated and if no residual collection found with clinical improvement of symptoms, patients were discharged. Patients who did not improve up to 40 days, or clinically deteriorated and developed complications like sepsis or pancreatic fistula formation, underwent surgical intervention. Data was collected on specially designed performa. Results: Five Hundred and fifty eight patients of acute pancreatitis were admitted during the study period and among them 25 (4.48%) patients developed pancreatic abscess. Four (16%) patients were male and 21 (84%) female. Mean age was 45±10 year. Twenty (80%) patients were cured with percutaneous drainage in 20 - 40 days and five (20%) developed complications for which open surgical intervention was done. One (4%) developed pancreatic fistula and one (4%) patient died. Three patients improved with surgical intervention. Conclusion: CT guided percutaneous drainage is minimally invasive and effective surgical treatment for pancreatic abscess.

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