Year 2021 / Volume 113 / Number 10
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Year 2021 / Volume 113 / Number 10

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Emphysematous pancreatitis: a rare entity with characteristic radiological findings

721-722

Fernando Ramírez Esteso, Esther Domínguez Ferreras, Francisco Domper Bardají, María Rodríguez González,

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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Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
© 2021 The Spanish Journal of Gastroenterology