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Emphysematous pancreatitis: a rare entity with characteristic radiological findings
Fernando Ramírez Esteso1, Esther Domínguez Ferreras2, Francisco Domper Bardají1
1Aparato Digestivo, Hospital General Universitario de Ciudad Real.
Abstract:
The case was a 53-year-old male with a history of acute pancreatitis of biliary origin, and subsequent laparoscopic cholecystectomy, currently hospitalized due to a diagnosis of acute pancreatitis. Seventy-two hours after the onset of symptoms he had fever, uncontrolled pain, and elevated inflammatory markers. An abdominal computed tomography (CT) scan revealed an aerial collection at the pancreatic gland suggestive of emphysematous pancreatitis. Proteus vulgaris was isolated from pancreatic puncture and blood cultures. The patient developed septic shock, which required admission to the intensive care unit. Septic shock was initially controlled by percutaneous drainage. However, surgical debridement was also necessary in the following days.
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