Acute Obstructive Suppurative Pancreatic Ductitis in an Asymptomatic Patient

Table 1

AOSPD case reports.

Case report	Patient age/gender	Prior endoscopic intervention	Relevant comorbid conditions	Presenting symptoms	WBC	CT scan results	ERCP results	Culture results	Clinical course
Weinman [1]	74/male	Biliary sphincterotomy	Chronic pancreatitis, DM	Abd. pain, fever, N/V	17.9	Dilated pancreatic duct with 5 mm stone	Pancreatic duct stone removed, stented	E. coli	Resolved, doing well at 18 months
Tajima et al. [2]	73/male	No	Chronic pancreatitis, pancreatic CA	Abd. pain, fever	14.2	Dilated pancreatic duct, tumor at head of pancreas	Pancreatic stricture, stented	N/A	Resolved
Deeb et al. [3]	46/male	ERCP, pancreatography	Chronic pancreatitis	Abd. pain, fever	N/A	Dilated pancreatic duct with large stone	Pancreatic duct stone, stented	Klebsiella ornithinolytica	Resolved
Fujimori et al. [4]	53/male	No	Chronic pancreatitis, AML	Abd. pain, fever	3.19	Dilated pancreatic duct with stones	Pancreatic duct cannulated and stented	Stenotrophomonas maltophilia	Relapsed one month later and required repeat ERCP and drainage
Fujinaga et al. [5]	70/male	No	Intraductal mucinous neoplasm	Abd. pain, fever	N/A	Mild pancreatic edema, 10 mm pancreatic stone	Pancreatic duct cannulated	Klebsiella oxytoca	Resolved
Aoki et al. [6]	50/male	N/A	Chronic pancreatitis	Abd. pain, fever	N/A	N/A	Purulent pancreatic fluid, main pancreatic duct stented	N/A	Resolved
Wali et al. (this case)	63/male	Biliary sphincterotomy	Chronic pancreatitis, DM	Asymptomatic	6.04	Dilated pancreatic duct, pancreatic calcifications	Pancreatic stricture, stented	E. coli, S. pneumoniae, and H. pneumoniae	Resolved