Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.9218
Peer-review started: May 17, 2021
First decision: June 24, 2021
Revised: July 1, 2021
Accepted: August 27, 2021
Article in press: August 27, 2021
Published online: October 26, 2021
Severe acute pancreatitis (SAP) is a common critical disease of the digestive sys
We report a 66-year-old Asian male with severe acute pancreatitis who presented with intermittent abdominal pain and an increasing abdominal mass. The abscess spread from the retroperitoneum to the anterior abdominal wall and the right groin. In the described case, drainage tubes were placed in the retroperitoneal and anterior abdominal wall by percutaneous puncture. After a series of symptomatic supportive therapies, the patient was discharged from the hospital with a retroperi
We believe that patients with SAP complicated with anterior abdominal abscess can be treated conservatively to avoid unnecessary exploration or operation.
Core Tip: Severe acute pancreatitis is a common critical disease of the digestive system. Its local complications are pancreatic pseudocyst, walled off necrosis and infected pancreatic necrosis. However, so far, there are few cases of severe acute pancreatitis with anterior abdominal abscess. We report a rare case of anterior abdominal abscess with severe acute pancreatitis. We think that for such cases, conservative treatment can be carried out to avoid unnecessary exploration or operation.