This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pancreas, Subject name: Surgery
An infected pancreatic necrosis is treated with - 
Select and explain. 
A. iv Antibiotics, B. Laprotomy and surgical debridement, C. Ultrasound guided drainage, D. TPN
B: Laprotomy and surgical debridement
Answer: B: Laprotomy and surgical debridement 
Explanation: Ans. is 'b' i.e., Laprotomy and surgical debridement o A pancreatic abscess# Is a circumscribed intrabdominal collection of pus, usually in proximity to pancreas, which contains little or no necrotic tissue. An infected pseudocyst is also considered as pancreatic abscess.o Pancreatic and peripancreatic necrosis# These are areas of nonviable pancreatic or peripancreatic tissue that may be either sterile on infectedo Treatment# An infected pancreatic necrosis is managed by laparotomy and surgical debridement of the necrotic tissue.# Whereas pancreatic abscess are t/t by external drainage.# Sterile necrotic pancreatitis is managed conservatively.