Eikenella corrodens perirenal abscess resulting from a pancreatic fistula in a patient with chronic pancreatitis. Case report and literature review
| Journal | Volume 81 - 2018 |
| Issue | Fasc.2 - Case reports |
| Author(s) | S. Dhaese, V. De Wilde, C. Snauwaert, H. Orlent |
| Full article |
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| (1) Department of Internal Medicine, Ghent University, Belgium ; (2) Department of Gastro-enterology and Hepatology, St-Jan Hospital, Bruges, Belgium. |
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We present a case of a right perirenal Eikenella corrodens abscess in a patient with chronic pancreatitis and poor dental hygiene. Endoscopic Retrograde CholangioPancreaticography (ERCP) revealed a pancreatic fistula draining to the right perirenal loge. The patient was treated with broad-spectrum antibiotics, percutaneous drainage and endoscopic stenting of the duct of Wirsung, stopping the supply of the fistula. A full recovery in our patient was observed. Considering the uncommon location of the abscess, a review of the different aetiologies of perirenal abscesses and their distrubution patterns, and the endoscopic treatment of symptomatic pancreatic fistulas seemed worthwhile. (Acta gastroenterol. belg., 2018, 81, 323- 326). |
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© Acta Gastro-Enterologica Belgica. PMID 30024705 |
