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Thomas V. Berne, MD; Arthur J. Donovan, MD

Arch Surg. 1981;116(5):527-533.

Abstract
• Pancreatic abscess has been characterized by a high rate of reoperation for persistent sepsis and by a high mortality. Nine patients with pancreatic abscess have undergone synchronous anterior celiotomy and posterior drainage following resection of the 12th rib. Pancreatic abscess was secondary to acute pancreatitis in seven of the cases. In two cases, the combined procedure was a secondary operation to treat abscess that developed following surgery for pancreatic trauma. All of these nine patients survived. One patient required reoperation for drainage of a left retrocolic abscess. A synchronous approach permits adequate exploration of the abdomen, provides the exposure necessary to remove necrotic tissue, and allows dependent drainage of the left subphrenic space without fear of splenic, pancreatic, or vascular injury.

(Arch Surg 1981;116:527-533)

Author Affiliations
From the Department of Surgery, University of Southern California School of Medicine and the Los Angeles County-USC Medical Center, Los Angeles, and the University of South Alabama Medical Center, Mobile.

Footnotes
Accepted for publication Dec 19, 1980.

Read before the 88th annual meeting of the Western Surgical Association, Salt Lake City, Nov 17, 1980.

Reprint requests to Department of Surgery, Room 9900, Los Angeles County-USC Medical Center, Los Angeles, CA 90033 (Dr Berne).

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