Introduction : A shift from early, prompt surgical necrosectomy to delay until liquefaction has become the global consensus for treatment of infected necrotizing pancreatitis. The global consensus allows drainage procedures and minimally invasive techniques to play a more important role before definitive surgery.

Methods : Fifty six year-old man was admitted for abdominal pain after heavily alcoholic drinking. An abdominal CT showed diffuse infiltrating inflammation around the pancreas suggesting acute pancreatitis. Despite conservative treatment, follow up CT showed huge infected peripancreatic necrotic abscess. He received multiple procedures for draining the infected abscess but failed in persistent fever.

Results : So he underwent laparoscopic peripancreatic necrosectomy and multiple drainages. He was improved with almost complete resolution during 3 month period.

Conclusions : So we report a case of complete resolution after minimal invasive procedure for failed peripancreatic abscess with multiple drainages.