Emphysematous Pancreatitis

Case contributed by Dr Fabricio Machado

Presentation

Debilitated patient with abdominal pain.

Patient Data

Age: 67
Gender: Male

CT Abdomen and pelvis

Modality: CT

Non-contrast CT of the abdomen demonstrates gas surrounding the body and tail of the pancreas extending within the anterior pararenal space and the root of mesentery. Inflammatory changes involving the surrounding fat of the pancreas are also seen. Additional findings include:

  • pneumobilia
  • pneumoperitoneum
  • hydropic gallbladder with mild inflammatory changes involving the surrounding fat of the gallbladder
  • incidental bilateral inguinal hernia

Case Discussion

Emphysematous pancreatitis is an unusual form and severe form of pancreatitis with a high mortality. 

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Case Information

rID: 16029
Diagnostic certainty: Almost Certain
Tag: pancreas
Inclusion in quiz mode: Included

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