Emphysematous pancreatitis: a severe complication of acute pancreatitis

Porter, Nora; Lapsia, Snehal

doi:10.1093/qjmed/hcq154

Cited by 6 publications

(8 citation statements)

References 2 publications

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“…1,2 Once diagnosed, management should include antibiotics and percutaneous drainage of fluid. 3,4 Surgical debridement may be necessary. 3,4 In this case the cause was thought to be gasproducing C. freundii.…”

Section: Diagnosismentioning

confidence: 99%

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Severe Acute Necrotizing Pancreatitis in a Patient with Diabetic Ketoacidosis

Noble

Moreno

Khodaee

2016

The American Journal of Medicine

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A 43-year-old uninsured man with a history of heavy alcohol abuse was admitted to the hospital with 6 months of malaise, nausea, abdominal distension, and pain. More recently he was experiencing dizziness, weakness, excessive urinary volume, and a nonproductive cough. Approximately four months before presentation he had been diagnosed with diabetes mellitus, but was unable to comply with recommended medications because of the cost. ASSESSMENT The patient was tachycardic, with a pulse of 132 beats per minute. His other vital signs were unremarkable. Physical examination was notable for dry mucous membranes, Kussmaul breathing, distension of the abdomen with a palpable liver edge, caput medusa stigmata, and bilateral trace lower extremity edema. Laboratory investigations revealed blood glucose of 457 mg/dL, hemoglobin A1c of 9.8%, arterial pH of 7.314, serum bicarbonate of 7.5 mEq/L, positive urine ketones, and an anion gap of 29 mmol/L. b-Hydroxybutyrate was elevated to Funding: None.

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Section: Diagnosismentioning

confidence: 99%

“…3,4 Surgical debridement may be necessary. 3,4 In this case the cause was thought to be gasproducing C. freundii.…”

Section: Diagnosismentioning

confidence: 99%

Severe Acute Necrotizing Pancreatitis in a Patient with Diabetic Ketoacidosis

Noble

Moreno

Khodaee

2016

The American Journal of Medicine

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“…Emphysematous pancreatitis (EP) is an uncommon variant of acute necrotizing pancreatitis characterized by the gas within or around pancreatic necrosis [ 1 ]. Prognosis is extremely poor, and early radiological detection may influence survival [ 2 ]. Diagnosis is established typically by computed tomography (CT) scanning in the appropriate clinical setting, which reveals characteristic findings of parenchymal nonenhancement with intrapancreatic or peripancreatic gas and fluid collections [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis is established typically by computed tomography (CT) scanning in the appropriate clinical setting, which reveals characteristic findings of parenchymal nonenhancement with intrapancreatic or peripancreatic gas and fluid collections [ 3 ]. CT scan shows gas inclusions within the pancreatic bed, as well as the degree of pancreatic inflammation and possible complications of this severe form of acute necrotizing pancreatitis [ 2 ]. The management of EP includes conservative therapy, such as administering fluids, electrolytes, and antimicrobial therapy to control septic shock.…”

Section: Introductionmentioning

confidence: 99%

Emphysematous Pancreatitis as a Life-Threatening Condition: A Case Report and Review of the Literature

Filipović,

Mašulović,

Bulatović

et al. 2024

Medicina

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Emphysematous pancreatitis represents the presence of gas within or around the pancreas on the ground of necrotizing pancreatitis due to superinfection with gas-forming bacteria. This entity is diagnosed on clinical grounds and on the basis of radiologic findings. Computed tomography is the preferred imaging modality used to detect this life-threating condition. The management of emphysematous pancreatitis consists of conservative measures, image-guided percutaneous catheter drainage or endoscopic therapy, and surgical intervention, which is delayed as long as possible and undertaken only in patients who continue to deteriorate despite conservative management. Due to its high mortality rate, early and prompt recognition and treatment of emphysematous pancreatitis are crucial and require individualized treatment with the involvement of a multidisciplinary team. Here, we present a case of emphysematous pancreatitis as an unusual occurrence and discuss disease features and treatment options in order to facilitate diagnostics and therapy.

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“…Cultures from the specimen grew Escherichia coli and Klebsiella pneumoniae . Emphysematous pancreatitis is a rare and potentially fatal necrotising infection of the pancreas, typically developing in diabetic individuals 1. The diagnosis is made on clinical grounds and the CT findings of gas in the pancreas parenchyma and the retroperitoneum.…”

mentioning

confidence: 99%

Emphysematous pancreatitis

Okamoto

Kuriyama

2013

Emerg Med J

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Images in emergency medicine Emphysematous pancreatitisA 74-year-old man with diabetes mellitus presented with a 2-day history of fever and diarrhoea. On examination, the patient had epigastric tenderness without abdominal distension. Serum amylase and lipase were slightly elevated. Contrast-enhanced CT revealed air bubbles in the swollen pancreas parenchyma and retroperitoneal space (figure 1). A diagnosis of emphysematous pancreatitis was established. Laparostomy with necrosectomy was performed. Cultures from the specimen grew Escherichia coli and Klebsiella pneumoniae. Emphysematous pancreatitis is a rare and potentially fatal necrotising infection of the pancreas, typically developing in diabetic individuals. 1 The diagnosis is made on clinical grounds and the CT findings of gas in the pancreas parenchyma and the retroperitoneum. Prompt fluid resuscitation and antibiotic therapy are indicated, and percutaneous drainage or surgical debridement is occasionally considered. This patient survived the perioperative period, but died with recurrent intra-abdominal infection on the 31st postoperative day.

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Emphysematous pancreatitis: a severe complication of acute pancreatitis

Cited by 6 publications

References 2 publications

Severe Acute Necrotizing Pancreatitis in a Patient with Diabetic Ketoacidosis

Severe Acute Necrotizing Pancreatitis in a Patient with Diabetic Ketoacidosis

Emphysematous Pancreatitis as a Life-Threatening Condition: A Case Report and Review of the Literature

Emphysematous pancreatitis

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