Sandbox:pancreatic abscess: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
===History and Symptoms=== | ===History and Symptoms=== | ||
====Common Symptoms==== | |||
Common symptomatic presentation of pancreatic abscess include:<ref name="pmid7137463">{{cite journal| author=Aranha GV, Prinz RA, Greenlee HB| title=Pancreatic abscess: an unresolved surgical problem. | journal=Am J Surg | year= 1982 | volume= 144 | issue= 5 | pages= 534-8 | pmid=7137463 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7137463 }} </ref> | |||
* [[Abdominal pain]] | |||
* [[Back pain]] | |||
* [[Nausea and vomiting]] | |||
* [[Weight loss]] | |||
====Less common symptoms==== | |||
* [[Melena]] | |||
* [[Diarrhoea]] | |||
====Vital signs==== | ====Vital signs==== | ||
* High grade fever | * High grade fever (greater than 37.8°C) | ||
* Upper abdominal pain | * Upper abdominal pain | ||
* Failure to thrive | * Failure to thrive | ||
===Physical Examination Findings=== | ===Physical Examination Findings=== | ||
* | * Abdominal tenderness<ref name="pmid7137463">{{cite journal| author=Aranha GV, Prinz RA, Greenlee HB| title=Pancreatic abscess: an unresolved surgical problem. | journal=Am J Surg | year= 1982 | volume= 144 | issue= 5 | pages= 534-8 | pmid=7137463 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7137463 }} </ref> | ||
* Abdominal mass | |||
* Abdominal distention | |||
===Lab Findings=== | ===Lab Findings=== | ||
* Leukocytosis | * Leukocytosis | ||
Revision as of 18:27, 7 February 2017
Overview
Pancreatic abscess is an unusual and rare, but life threatening complication of acute pancreatitis.
Definition
Historical Perspective
Differentiating Pancreatic Abscess from other Diseases
Pancreatic abscess should be diagnosed early and treat promptly not only to reduce morbidity and mortality, but also it is important to differentiate from other pancreatic disesases such recurrent pancreatitis, pancreatic psuedocysts etc. as the undrained abscess carreies high risk of mortality.[1]
- Recurrent pancreatitis
Diagnosis
History and Symptoms
Common Symptoms
Common symptomatic presentation of pancreatic abscess include:[2]
Less common symptoms
Vital signs
- High grade fever (greater than 37.8°C)
- Upper abdominal pain
- Failure to thrive
Physical Examination Findings
- Abdominal tenderness[2]
- Abdominal mass
- Abdominal distention
Lab Findings
- Leukocytosis
References
- ↑ ALTEMEIER WA, ALEXANDER JW (1963). "Pancreatic abscess. A study of 32 cases". Arch Surg. 87: 80–9. PMID 14012297.
- ↑ 2.0 2.1 Aranha GV, Prinz RA, Greenlee HB (1982). "Pancreatic abscess: an unresolved surgical problem". Am J Surg. 144 (5): 534–8. PMID 7137463.