The development of a pancreatic abscess, suppurative pylethrombosis, and multiple hepatic abscesses after a pancreatojejunostomy for chronic pancreatitis: Report of a case

We present herein an autopsy case of 63-year-old Japanese man who died as a result of pancreatic abscess, suppurative pylethrombosis. and multiple liv er abscesses that had developed 10 years after a pancreato- and cystojejuno stomy with side-to side anastomosis for chronic pancreatitis. Even after th is operation, the patient had continued to consume excessive amounts of alc ohol. He had first experienced back pain with leukocytosis 9 years after th e operation, which relapsed the following year. Despite percutaneous transh epatic gallbladder drainage, his icterus had deteriorated into hepatic insu fficiency. Computed tomographic scans of the abdomen had disclosed multiple liver abscesses. At autopsy, a pancreatic abscess and suppurative pylethro mbosis as well as multiple liver abscesses were found. There have been few reported cases of such lethal complications developing after a pancreato- a nd cystojejunostomy for chronic pancreatitis. As the consumption of alcohol ;would hare exacerbated the chronic pancreatitis, such patients should be s trongly advised to abstain from drinking alcohol.