Infected pancreatic necrosis is an absolute indication for interventional management, such as percutaneous drainage or surgery.
In this study, researchers from India conducted a retrospective review of case records of patients presenting with severe acute pancreatitis and pancreatic necrosis.
|4 patients were treated with antibiotics and intensive care.|
The team sought to identify cases where conservative treatment was followed by a satisfactory outcome.
The researchers were able to identify 4 patients, over a 3-year period, who had pancreatic necrosis and retroperitoneal air. The presence of retroperitoneal air is a sign of anaerobic sepsis.
The 4 patients were treated with antibiotics and intensive care.
The team found that they improved without any interventional treatment.
Dr Ramesh's team concluded, "Some patients with infected pancreatic necrosis are treatable medically".
"The clinical status of the patients may well be a more important factor governing the choice of the treatment approach than bacteriological findings of infection alone".