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.