Paniculitis en pancreatitis aguda. Reporte de un caso y revisión de la literatura

Abstract

Pancreatic panniculitis is a cutaneous manifestation that can occur as a complication of acute pancreatitis. We present the case of a patient who had an acute pancreatitis initially classified as mild, but, during the course of the disease, was associated with the presence of an exacerbation of pain together with erythematous, painful and well-defined dorsal lesions. In the tomographic control, the presence of the panniculitis and peri-pancreatic necrosis with periportal gas was confirmed. The patient had a clinical decompensation associated with the suspicion of compartment syndrome. For this reason, it was decided to perform an exploratory laparotomy. The presentation of pancreatic paniculitis is an infrequent manifestation, thus we consider pertinent the description of this case and its review in the literature.