[Pancreatic abscess]

With the report of a pancreatic abscess, the authors make a review of the literature. A 70 years old female patient was seen with peritoneal syndrome lasting 72 hours. Surgical exploration done 3 weeks later after a medical treatment found a purulent collection in the omental bursae. A surgical drainage of the collection associated with an antibiotherapy improved perfectly the general conditions of our patient seen 5 months later without any infectious recurrence. The ultrasound exam, revealed a pseudocyst and an uncomplicated cholecystic lithiasis for which an operation is planed. They emphasized the nosologic problems with this pathology, the rarity of this particular complication and the diagnostic and therapeutic difficulties. In spite of the progress in antibiotherapy, pancreatic abscess never heals without surgical drainage.