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Abstract
In a retrospective study of 264 patients with acute pancreatitis, 22 were identified
as having phlegmon by combined radiologic and clinical criteria. The radiologic criteria
consisted of demonstration of abnormal lesion on computed tomography scan which was
composed of masses of mixed density, free of extraluminal gas and lacking a well-defined
wall. The clinical criteria was that the clinical course was free of sepsis. Half
of the group thus identified had severe pancreatitis as defined as having three or
more poor prognostic signs. Fever, leukocytosis, and serum amylase elevation persisted
for a longer period than usual. Complication was infrequent but the lesion could persist
for 3 to 4 months without producing symptoms. This is a relatively benign condition
and surgery should be avoided.
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© 1989 Published by Elsevier Inc.
