Document Detail


Chronic calcific pancreatitis presenting as an isolated left perinephric abscess: a case report and review of the literature.
MedLine Citation:
PMID:  21904077     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
CONTEXT: Acute and chronic pancreatitis may present with pseudocysts in atypical locations. Activated pancreatic enzymes track along anatomic fascial planes causing digestion of the surrounding tissues and resulting in distant pseudocysts. Pseudocysts at atypical locations pose significant diagnostic as well as therapeutic challenges.
CASE REPORT: We report an unusual presentation of a pancreatic pseudocyst in a young male who presented with a left perinephric abscess. Percutaneous drainage was not successful in resolving the abscess and he was subsequently diagnosed as having chronic pancreatitis together with a left perinephric abscess. Needle knife sphincterotomy of the ampulla of Vater resulted in the gradual resolution of the abscess.
CONCLUSION: We report a rare presentation of chronic pancreatitis with a perinephric abscess and its non-surgical management. This case report indicates that any patient presenting with a perinephric abscess of unknown etiology not responding to conventional treatment modalities should be investigated for underlying pancreatitis.
Authors:
Ragesh Babu Thandassery; Sathish Kumar Raamya Mothilal; Shrawan Kumar Singh; Abdul Khaliq; Lalan Kumar; Rashi Kochhar; Kartar Singh; Rakesh Kochhar
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Publication Detail:
Type:  Journal Article     Date:  2011-09-09
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  12     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  485-8     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research. Chandigarh, India. dr_kochhar@hotmail.com.
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