Pancreatic gas with no evidence of abscess. Report of 2 cases

Intrapancreatic air has been considered a reliable sign of pancreatic abscess (PA), although it can also be associated with other pancreatic diseases. We report here the clinical outcome of two patients with acute pancreatitis with gas in the retrogastric region suggestive of an abscess. Both patien...

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Published inRevista de investigacion clinica Vol. 43; no. 2; pp. 179 - 183
Main Authors Herrera-Ascencio, E, Uscanga, L, Fernández del Castillo, C, Robles-Diaz, G, Campuzano Fernández, M
Format Journal Article
LanguageSpanish
Published Mexico 01.04.1991
Subjects
Abscess - etiology
Acute Disease
Adult
Gases
Humans
Male
Pancreatitis - complications
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Summary:Intrapancreatic air has been considered a reliable sign of pancreatic abscess (PA), although it can also be associated with other pancreatic diseases. We report here the clinical outcome of two patients with acute pancreatitis with gas in the retrogastric region suggestive of an abscess. Both patients exhibited a good clinical course with no evidence of sepsis. They were treated with analgesics and one of them with antibiotics. Control CT scans showed disappearance of liquid collections and intrapancreatic gas. In one case an endoscopy disclosed a gastric ulcer with changes suggesting a pancreatic fistula. This report shows that intrapancreatic air may mimic PA in cases with acute pancreatitis without septic complications.
Bibliography:ObjectType-Article-2
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ISSN:0034-8376