Bacterial, Granulomatous, Viral and Parasitic Lesions of the Pancreas

  • A. H. Cruickshank


Primary bacterial inflammation of the pancreas is rare but if acute pancreatitis has caused necrosis of a part of the pancreas, or if a pseudocyst has been formed, bacterial infection may convert the necrotic tissue or the pseudocyst into an abscess. The origin of the organisms, and the route by which they reach the pancreas may vary from case to case and may include blood-borne infection, and lymphatic or direct spread from the colon or from infection in the büiary tract. Direct penetration of the waU of the transverse colon by its normal bacterial flora is the probable route of infection in most cases and intestinal organisms are those that have been most commonly identified in pus from pancreatic abscesses. A mixture of organisms was present in 13 of the 32 cases of pancreatic abscess studied by Altemeier and Alexander (1963). No case of staphylococcal infection was present in the cases of pancreatic abscess reported by Evans (1969), but staphylococci were found in 12 of Altemeier and Alexander’s cases and in 8 of the 60 positive bacterial cultures obtained from pancreatic abscesses by Bolooki et al. (1968). In such cases the source of the infection may not have been the intestine.


Acute Pancreatitis Pancreatic Duct Hydatid Cyst Severe Acute Pancreatitis Typhoid Fever 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. H. Cruickshank
    • 1
  1. 1.LiverpoolUK

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