Management of pancreatic abscess is

Sterile and Infected Pancreatic Fluid Collection (Pancreatic Abscess) The presence of acute abdominal fluid during an episode of AP has been described in 30-57% of patients In contrast to pseudocyst and cystic neoplasia of the pancreas, fluid collections are not surrounded or encased by epithelium or fibrotic capsule Treatment is suppoive because most fluid collections will be Spontaneously reabsorbed by the peritoneum Pancreatic Abscess: The presence of fever, elevated WBC count, and abdominal pain suggest infection of this fluid and percutaneous aspiration is confirmatory Percutaneous drainage and IV administration of antibiotics should be instituted if infection (Pancreatic abscess) is present Ref: Sabiston 20th edition Pgno :1529