Emphysematous pancreatitis perforating into stomach

Case contributed by Dr G Balachandran

Presentation

Acute abdominal pain and fever of three days duration.

Patient Data

Age: 55 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

scanogram and NECT show air in pancreas and in lesser sac.

Post-contrast CT showed moderate gas in entire pancreas with evidence of gas in the lesser sac, stomach wall, retroperitoneum, and large bowel wall.

Case Discussion

The initial ultrasound study revealed an indistinct pancreatic outline with stomach gas obscuring the pancreas. CT showed moderate gas in entire pancreas with evidence of gas in the lesser sac, stomach wall, retroperitoneum, and large bowel wall.

His earlier USG, done 10 days earlier, showed a 6x8 cm pseudocyst.

The pseudocyst now has totally disappeared, probably became infected, with spontaneously rupture into the stomach.

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