Emphysematous pancreatitis perforating into stomach

Case contributed by Dr G Balachandran

Presentation

55 years old male was admiited for acute abdominal pain. and fever of three days duration.

Patient Data

Age: 55
Gender: Male

NECT showing air in pancreas and in lesser sac

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 lesser sac,stomach wall,retroperitoneum and large bowel wall.

His earlier USG,  done 10 days earler,showed a 6 x 8 cm pseudo cyst.

The pseudo cyst now has totally disappeared,probably  became infected, with  spontaneously rupture into stomach

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Case Information

rID: 16783
Case created: 20th Feb 2012
Last edited: 8th Oct 2015
Inclusion in quiz mode: Included

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