Pancreatic abscess occurs in up to 5% of people with acute pancreatitis. An abscess may be caused by inadequate drainage of a pancreatic pseudocyst, which is a complication of pancreatitis.

• Fever
• Chills
• Abdominal pain
• Abdominal mass
• Inability to eat
• Nausea and vomiting

Physical examination may show signs of pancreatic inflammation, such as fever, abdominal tenderness, and the presence of a mass in the area.

Tests performed may include the following:

• Abdominal CT scan
• Abdominal ultrasound

Percutaneous (through the skin) drainage of the abscess may be possible. Laparotomy with drainage and possible surgical removal of dead tissue may be required.

The outcome is related to the severity of the infection. The death rate from undrained pancreatic abscesses is very high.

• Multiple abscesses
• Sepsis

Call your health care provider if persistent abdominal pain with fever or other signs of pancreatic abscess develops, particularly if you have recently had a pancreatic pseudocyst or pancreatitis.

Adequate drainage of a pancreatic pseudocyst may help prevent some cases of pancreatic abscess. However, in many cases the disorder is not preventable.