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Absceso pancreático

Pancreatic Abscess Explained

After a severe episode of pancreatitis, areas of damaged pancreatic tissue or fluid collections can become infected, forming an abscess. Pancreatic abscesses typically present days to weeks after the initial attack, with fever, persistent or worsening abdominal pain, and signs of infection. They can be life-threatening and require prompt diagnosis and drainage.

Síntomas

Symptoms generally include ongoing abdominal pain, fever, and feeling very ill following pancreatitis.

Los síntomas incluyen:
Persistent or new abdominal pain after pancreatitis
Fever, chills, or sweats
Nausea and vomiting
Weakness, fatigue, or loss of appetite
Sometimes signs of sepsis (rapid heart rate, confusion, low blood pressure)

Cuándo llamar

If you have recently been hospitalized with pancreatitis, call the office promptly for recurrent or worsening abdominal pain, fever, or feeling unwell—these may be early signs of an abscess or other complication.

Seek emergency care immediately for high fever, severe abdominal pain, confusion, difficulty breathing, or feeling faint—these can be signs of severe infection or sepsis.

Evaluación y pruebas
Manejo y tratamiento

Evaluation requires imaging (CT, MRI, or ultrasound) to identify an infected fluid collection and blood tests to assess infection and organ function. Sometimes, cultures are obtained during drainage to guide antibiotic therapy.

History of recent pancreatitis and clinical worsening after initial improvement
Physical exam focused on abdominal tenderness and signs of sepsis
CT or MRI scan to identify abscess and other complications
Blood tests for white blood cell count, organ function, and cultures
Consultation with gastroenterology, surgery, and interventional radiology

Pancreatic abscesses almost always require antibiotics and some form of drainage—endoscopic, percutaneous, or surgical. Supportive care in the hospital is essential.

Hospitalization with IV fluids, pain control, and monitoring
Broad-spectrum antibiotics, adjusted based on culture results
Image-guided percutaneous or endoscopic drainage; surgery in selected cases
Management of underlying pancreatitis and prevention of further complications
Close follow-up imaging to confirm resolution
Esta información tiene únicamente fines educativos generales y no constituye un diagnóstico ni un consejo médico personalizado. No sustituye la consulta con su propio profesional sanitario. Siga siempre las recomendaciones específicas que le haya dado su equipo médico. Si presenta síntomas urgentes o que empeoran, póngase en contacto con su profesional sanitario o acuda inmediatamente a urgencias.

De un vistazo

Abdominal painNausea / vomitingWeight loss / anemia

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