Emphysematous pancreatitis (EP) is a rare and severe complication of acute pancreatitis carrying a high mortality with only a handful of case reports and small studies reporting these cases and their management. The presence of emphysematous pancreatitis is often indicative of infected pancreatic necrosis with the mainstay of treatment being pancreatic necrosectomy; however there are cases where it may be appropriate to have a trial of conservative management, and there is a small body of evidence to support this. This paper describes a case of an 87-year-old male with acute emphysematous pancreatitis successfully managed with conservative cares.
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| http://dx.doi.org/10.1093/jscr/rjaa086 | DOI Listing |
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Article Synopsis
- Acute pancreatitis is a frequently occurring condition that can sometimes lead to serious complications like necrosis of the pancreas, but this is not very common.
- When abscesses form in the pancreas, they are usually caused by a mix of both aerobic (oxygen-requiring) and anaerobic (not requiring oxygen) bacteria found in the intestines.
- The case discussed involves a patient who had clostridial emphysematous pancreatitis, which resulted in gas in the abdominal cavity (pneumoperitoneum) without any holes or tears in the surrounding organs.
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