1 Week Of Progressive in Medicine / Internal Medicine — 50yo Man | Gastroenterology | SMLE Q#17869

SMLE Question #17869

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-117

Last updated: February 2026
A 50-year-old man presents with 1 week of progressive epigastric pain and early satiety. Six weeks ago, he was hospitalized for acute pancreatitis and has abstained from alcohol since. Abdominal examination shows mild epigastric tenderness and a palpable, nonpulsatile upper abdominal mass. Contrast-enhanced CT shows a 7 cm, well-circumscribed, encapsulated fluid collection adjacent to the pancreas without gas or necrosis. What is the most appropriate management?

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