The patient had a bout of pancreatitis 6 months prior to the present admission. Calcifications can be seen in the head of the pancreas. There was no evidence of biliary tract disease. A diagnosis of chronic pancreatitis was made at that time, and ERCP with sphincterotomy was performed. Several pancreatic duct calcifications were removed at that time to relieve ductal obstruction.
A diagnosis of infected pancreatic pseudocyst/pancreatic abscess was made. The patient underwent endoscopic trans-gastric placement of two double-ended pigtail catheters into the fluid collection. Pus was seen draining from the gastrotomy.
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