Pancreatic Disorders

1. PANCREATIC ABSCESS
PREPARED BY
MRS.LAKSHMI.S
PROFESSOR OF MSN
TJCN,BANGALORE

2. INTRODUCTION
• Pancreatic abscess is an unusual and rare, but life threatening
complication of acute pancreatitis. It develop 5 weeks after the onset
of pancreatitis and after onset of symptoms and subsidence of the
acute phase of pancreatitis.

3. Definition
• Pancreatic abscess is defined as a localized collection
of pus surrounded by a more or less distinct capsula in
inflamed pancreas.[

4. Common Causes
AEROBIC
BACTERIA
ANAEROBES
BACTERIA
FUNGAL PARASITE
•Enterococcus
•Escherichia coli
•Klebsiella
pneumoniae
•Pseudomonas
aeruginosa
•Staphylococcus
aureus
•Proteus
•Bacteroides
fragilis
•Clostridium
perfringens
•Candida albicans
•Candida tropicalis
•Entamoeba
histolytica
organisms causing pancreatic abscess are as follows:[10]

5. Risk Factors:
Common risk factors Less common risk factors
•Biliary Tract Disease
•Alcohol addiction
•Peptic ulcer
•Carcinoma
•Trauma
•Polyarteritis nodosa

6. Pathophysiology
Acute pancreatitis
⬇
• Necrotizing pancreatitis resulting due to more severe tissue
destruction
⬇
• Increase in intestinal permeability to bacteria
⬇
• Increased rate of infection of the necrotic tissue
⬇
Abscess formation

7. Diagnostic Evaluation
• History collection & Physical Examination
• Blood Test: Complete Blood Count and Blood culture
• Fine Needle Aspiration
• X-ray
• C.T Scan
• Ultrasonography

8. Management:
• Medical Management:
1.Antibiotcs
2. Prophylaxis Antibiotic Therapy
SURGICAL MANAGEMENT:
1.Drainage

9. THANK YOU