A report is presented of a patient who developed multiple abscesses of the pancreas due to Candida albicans following an Endoscopic retrograde chole-pancreatography (ERCP) for acute pancreatitis. He was not immunocompromised, debilitated and had not had recent surgery. There was complete radiological and clinical resolution of the abscess on prolonged treatment with amphotericin alone. Only a few cases of candidial abscess of the pancreas have been reported, none of them having occurred after an ERCP.
KennedyM.J.VozP.A.Ecology of Candida albicans gut colonisation. Infect. Immun., 1985; 49: 654.
2.
MalenbrancheR.GuerinJ.M.fLarocheA.C.Acquired immunodeficiency syndrome with severe gastrointestinal manifestations in Haiti. Lancet, 1983; 2: 873.
3.
GebhardtCHRiemannJ.F.LuxG.The importance of ERCP for the surgical tactic in haemorrhagic pancreatitis Endoscopy, 1983: 15: 55–58.
4.
KautzG.WittrinV.G.ZastrowF.Endoscopic papillotomy as a therapeutic alternative to acute biliary pancreatitis. In: HollenderL.F., ed. Controversies in Acute Pancreatitis. Berlin, Heidelberg, New York: Springer, 1982, 219–22.
5.
LindsayJ.SherlockS.The aetiology, presentation and natural history of extrahepatic portal venous obstruction. Q.J.Med.1979; 48: 627.
6.
HowardJ.M.BieluchV.M.Abscess secondary to Candida albicans. Pancreas, 1989; Vol. 41: 120–122.
7.
WorthingtonH.O'DonnellK.SullivanJ.MacDonnellK.Aorto iliac graft infection and pancreatic abscess due to Candida albicans. Arch. Surg.1984; 119: 245.
8.
GregoryD.W.Candida infections. Saturday conference. Southern Medical Journal, 1982; 75: 339–345.
9.
RichterJ.M.JacobyG.SchapiroH.WarshawA.L.Pancreatic abscess due to Candida albicans. Ann. Intern. Med.1982; 97: 221–222.
10.
FitzgeraldE.J.LyonsK.Candida abscess of the pancreas: diagnosis and treatment by computed tomography guided percutaneous drainageBr. J. Radiology, 1986; 59: 1121–1123.
