Citation, DOI, disclosures and article data
At the time the article was created Bruno Di Muzio had no recorded disclosures.View Bruno Di Muzio's current disclosures
Emphysematous pancreatitis is an unusual complication of acute pancreatitis caused by necrotizing infection of the pancreas. It is associated with gas-forming bacteria and characterized by the presence of gas within or around the pancreas 1.
Infection with gas-forming bacteria such as
Gas associated with infection is generally thought to consist of carbon dioxide and nitrogen secondary to the fermentation of glucose by some species of bacteria.
Computed tomography is the imaging modality of choice because of its sensitivity and specificity in detecting gas bubbles 2.
Treatment and prognosis
This condition carries a high mortality rate. Percutaneous drainage of the fluid collection and, if there is no clinical response to support measures, surgical resection of the infected necrotic tissue.
gas introduced by recent instrumentation, surgery (e.g. post-ERCP) or trauma
enteric fistula formation and reflux from an adjacent hollow viscus
- 1. Kvinlaug K, Kriegler S, Moser M. Emphysematous pancreatitis: a less aggressive form of infected pancreatic necrosis?. Pancreas. 2009;38 (6): 667-71. doi:10.1097/MPA.0b013e3181a9f12a - Pubmed citation
- 2. Wig JD, Kochhar R, Bharathy KG et-al. Emphysematous pancreatitis. Radiological curiosity or a cause for concern?. JOP. 2008;9 (2): 160-6. Pubmed citation
- 3. Niryinganji R, Mountassir C, Siwane A et al. Emphysematous Pancreatitis: A Rare Complication of Acute Necrotizing Pancreatitis. Eur J Case Rep Intern Med. 2020;7(6):001550. doi:10.12890/2020_001550
- 4. Martínez D, Belmonte M, Kośny P, Ghitulescu M, Florencio I, Aparicio J. Emphysematous Pancreatitis: A Rare Complication. Eur J Case Rep Intern Med. 2018;5(11):000955. doi:10.12890/2018_000955