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Korean J Gastroenterol. 2017 May;69(5):321-324. English. Case Report. https://doi.org/10.4166/kjg.2017.69.5.321
Lee JY , Kim TH , Chon HK .
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. gipb2592@wku.ac.kr
Abstract

An isolated pyogenic pancreatic abscess (IPPA) without pancreatitis is extremely rare but can occur in patients with uncontrolled diabetes. This pathologic condition poses a clinical challenge in diagnosis and management because it can be confused easily with a malignancy. Endoscopic ultrasound (EUS) may be a useful diagnostic modality for indeterminate pancreatic lesions and IPPA. Here, we report two cases with elevated carbohydrate antigen 19-9 levels and pancreatic masses on cross sectional imaging. The patients were subsequently diagnosed with IPPA by EUS. EUS-guided drainage was performed successfully and the patients' clinical symptoms and radiologic findings improved. In our experience, EUS and EUS-guided drainage are crucial steps for the diagnosis and management of patients with an indeterminate pancreatic lesion. In addition, EUS-guided drainage has excellent technical and clinical outcomes for the treatment of IPPA.

Copyright © 2019. Korean Association of Medical Journal Editors.