Do APFCs require percutaneous image guided treatment?
- APFCs are adjacent to the pancreas and extrapancreatic only.
- They occur during the first 4 weeks, have no discernible wall, and do not contain debris or necrosis.
- Most usually resolve spontaneously without intervention and do not become infected.
- Percutaneous image-guided drainage is only indicated if infected.
- The presence of infection can be presumed when there is the presence of extraluminal gas or when percutaneous image-guided FNA is positive for bacteria or fungi on gram stain and culture.
