Acute Obstructive Suppuration of the Pancreatic Duct Causing Sepsis

INTRODUCTION Pancreatic abscess, necrosis, and pseudocyst are wellknown entities that can complicate pancreatitis and lead to pancreatic sepsis (Sarr et al., 2013; Deeb et al., 2008). Acute obstructive suppurative cholangitis is a common clinical entity. However, pancreatic duct (PD) obstruction and acute suppuration of the pancreatic duct (ASPD) leading to sepsis, without a concurrent pancreatic abscess or infected pseudocyst, is an extremely rare complication with few cases reported in the English literature (Fujimori et al., 2011; Tajima et al., 2006). In ASPD, pancreatic obstruction results in the development of infection and pus within the PD, leading to sepsis. Here, we report a case of ASPD successfully treated with emergent endoscopic retrograde cholangiopancreatography (ERCP).