Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
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Case Report

Volume 17, Number 1, February 2024, pages 32-36

Fulminant Emphysematous Pancreatitis: Diagnosis Time Counts

Figures

Figure 1.
Figure 1. An axial abdomino-pelvic CT scan showed multilocular pancreatic collection involving the lesser sac containing air (arrow), consistent with acute emphysematous pancreatitis. CT: computed tomography.
Figure 2.
Figure 2. An axial abdominal CT scan demonstrates heterogeneous enhancement of the pancreas and irregular contours, accompanied by substantial gas within and around the necrotic pancreatic tissues (arrow). These findings were supportive of the diagnosis of emphysematous pancreatitis. CT: computed tomography.

Table

Table 1. The Differences in the Workup Timeline for the Two Patients
 
Case 1Case 2
CT: computed tomography; ICU: intensive care unit; IV: intravenous; COPD: chronic obstructive pulmonary disease; NASH: non-alcoholic steatohepatitis.
Patient’s age, years7871
SexFemaleFemale
Medical historyHypertension, hyperlipidemiaCOPD, NASH, aortic stenosis
Clinical presentationAbdominal pain and vomitingAbdominal pain and vomiting
Diagnosis time (by CT scan)52 h7 h
ICU admission and close monitoring time48 h8 h
IV antibiotics48 h7 h
OutcomeDiedSurvived