The clinical course of 19 @entity1 with @entity788 , as diagnosed by computed tomography (CT) and clinical criteria, was assessed retrospectively and compared to that of eight @entity1 with @entity788 diagnosed either at surgery or with percutaneous @entity1173 . Controls consisted of 55 @entity1 with uncomplicated @entity656 without CT scans and 11 @entity1 with @entity656 in whom CT scans were negative or only consistent with @entity656 (no @entity2688 ). The age, sex, and presumed etiology of the @entity788 were not significantly different in the four groups. @entity1 with @entity2688 had a higher incidence of severe @entity788 as defined by Ranson's criteria, presence of an abdominal mass, as well as a longer duration of @entity221 , @entity490 and @entity491 than controls without CT scans. With the exception of a palpable abdominal mass and @entity221 lasting over five days, the results were similar when comparing the @entity2688 group and controls with CT scans, although the severity of the disease and prolonged @entity490 tended to be increased in the former @entity1 . There was no statistically significant difference in clinical or laboratory criteria between the @entity2688 and abscess groups, although the latter group had longer hospital stays and periods with no oral intake (npo). Management of @entity1 with @entity2688 tended to include TPN, longer npo periods, antibiotics, and longer hospital stay than in controls without CT scans. Controls with CT scans were managed similarly to the @entity2688 group because of prolonged amylase elevation and @entity490 . Percutaneous @entity1173 was successful in differentiating abscess from @entity2688 in five of six cases. Major complications were rare in the @entity2688 group and spontaneous resolution was the rule. @entity788 is a distinct clinical/radiologic entity which may be very difficult to differentiate clinically from @entity788 . Early percutaneous thin-needle @entity1173 of the inflammatory mass (under CT guidance) seems to be the diagnostic procedure of choice. Management is nonsurgical unless complications arise. The role of TPN and antibiotics is unknown, and controlled studies of these therapeutic approaches in @entity788 are needed.

XXXX . Clinical features and course.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic phlegmon', 'pancreatitis', 'Pancreatic phlegmon', 'pancreatic abscess'] @entity656 :: ('MESH:D019283', 'Disease') :: ['acute pancreatitis'] @entity2688 :: ('MESH:D002481', 'Disease') :: ['phlegmon'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity491 :: ('MESH:D007964', 'Disease') :: ['leukocytosis'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspiration']
@entity788 :: (MESH:D010190,Disease) :: ['Pancreatic phlegmon']
