A 55-year-old man with severe necrotising pancreatitis on ICU day 21 develops suspected infected pancreatic necrosis. CT shows walled-off necrosis wit...

Question

A 55-year-old man with severe necrotising pancreatitis on ICU day 21 develops suspected infected pancreatic necrosis. CT shows walled-off necrosis with gas bubbles. What is the recommended approach to management?

Accepted Answer

Step-up approach: antibiotics, then percutaneous/endoscopic drainage if no improvement, then minimally invasive necrosectomy if drainage fails

Answer

Immediate open necrosectomy

Answer

Conservative management with antibiotics alone indefinitely

Answer

Total pancreatectomy

Answer

Peritoneal lavage

uk-fficm MCQ (SBA): Infected Pancreatic Necrosis

A 55-year-old man with severe necrotising pancreatitis on ICU day 21 develops suspected infected pancreatic necrosis. CT shows walled-off necrosis with gas bubbles. What is the recommended approach to management?