A 50-year-old man develops acute pancreatitis due to alcohol abuse. Hyperamylasemia resolves by the third day after admission. By the eighth hospital day, the patient is noted to have recurrent fever (38.5°C), progressive leukocytosis (18,500 WBC/mm3), and tachypnea. The most appropriate management includes which as the next step?
A. Laparotomy with pancreatic debridement
B. CT guided aspiration of peripancreatic fluid collections
C. ERCP with sphincterotomy and placement of biliary stent
D. Intravenous amphotericin B
Answer:B
A 50-year-old man develops acute pancreatitis due to alcohol abuse. Hyperamylasemia resolves by the third day after admission. By the eighth hospital day, the patient is noted to have recurrent fever (38.5°C), progressive leukocytosis (18,500 WBC/mm3), and tachypnea. The most appropriate management includes which as the next step?
A. Laparotomy with pancreatic debridement B. CT guided aspiration of peripancreatic fluid collections C. ERCP with sphincterotomy and placement of biliary stent D. Intravenous amphotericin B