Emphysematous Pancreatitis: A Rare Complication

Caro, D. Martínez; Belmonte, Maria Teresa; Kosny, Piotr; Ghitulescu, Mihaela Alina; Florencio, Ignacio; Aparicio, José Ramón

doi:10.12890/2018_000955

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Treatment options include either conservative non-operative management or surgical therapy. Non-operative management includes fluid resuscitation, analgesics, broad-spectrum antibiotics with or without endoscopic or percutaneous debridement [11]. As fulminant type EP carries high rates of mortality, early diagnosis is crucial for early aggressive conservative therapy and antibiotic treatment initiation.…”

Section: Discussionmentioning

confidence: 99%

Fulminant Emphysematous Pancreatitis: Diagnosis Time Counts

Darawsha,

Mansour,

Fahoum

et al. 2024

Gastroenterol Res

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Emphysematous pancreatitis (EP), a severe form of necrotizing infection of the pancreas, is an extremely rare medical emergency with high rates of mortality. It is characterized by intraparenchymal pancreatic or peri-pancreatic air due to either monomicrobial or polymicrobial infection with gas-forming bacteria or due to entero-pancreatic fistula. EP is classified according to timing from disease onset when air bubble signs were detected on computed tomography (CT) scan, as early onset (within 2 weeks from disease onset) or late (more than 2 weeks from disease onset). While most cases of acute pancreatitis are resolved with supportive care alone, clinical outcomes of EP, especially the early onset subtype, are very poor with high rates of morbidity and mortality. These two case reports present the clinical features, diagnostic investigations, and management of two patients admitted to our hospital with early onset fulminant EP, each investigated and managed with different approaches. The first patient underwent a more conservative treatment, with diagnosis being made 52 h following admission, and thus, intensive care unit (ICU) admission and surgery were postponed, while the second patient was diagnosed a few hours following presentation with earlier ICU admission. In this article, we will present the critical importance of early diagnosis of the aforementioned rare entity of severe pancreatitis and will consider the consequences of rapid diagnosis on disease course, morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Fulminant Emphysematous Pancreatitis: Diagnosis Time Counts

Darawsha,

Mansour,

Fahoum

et al. 2024

Gastroenterol Res

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“…Emphysematous pancreatitis (EP) is an uncommon variant defined as necrotizing infection of the pancreas concomitant with gas forming organisms from the bowel [ 3 ]. This condition is a rare and serious complication of acute pancreatitis with a high case fatality rate [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Emphysematous pancreatitis with pulmonary embolism: A case report

Skaff

Jarrah

Filippaios

et al. 2023

Respiratory Medicine Case Reports

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“…It is characterized by the presence of gas in the necrotic pancreatic parenchyma and/or in peripancreatic collections [1] . Abdominal CT is the examination modality of choice with high sensitivity and specificity for gas detection, collection and vascular pedicle abnormality detection, as well as other complications associated with acute pancreatitis [2] . It allows for suspicion of emphysematous pancreatitis based on the intra-and/or peripancreatic presence of air, in a context of epigastric pain with elevated lipasaemia, 3 times higher than the normal value [3] .…”

Section: Introductionmentioning

confidence: 99%

The Emphysematous Pancreatitis: A Rare Complication of Acute Necrotizing Pancreatitis

Niryinganji

Mountassir

Siwane

et al. 2020

European Journal of Case Reports in Internal Medicine

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Emphysematous pancreatitis is a rare and fatal complication of acute necrotizing pancreatitis. We report a radioclinical observation of a 61-year-old female patient who consulted for epigastric pain radiating to the back, associated with vomiting and elevated lipasaemia more than 3 times the normal value. The abdominal computerized tomography (CT) scan carried out on the fourth day of hospitalization, based on worsening of the clinical condition, showed pancreatic necrosis associated with the presence of air bubbles. Percutaneous puncture of a peripancreatic collection was positive for Escherichia coli. A diagnosis of emphysematous pancreatitis was established. The clinical and biological evolution of our patient was favourable with antibiotic treatment.

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Emphysematous Pancreatitis: A Rare Complication

Cited by 6 publications

References 5 publications

Fulminant Emphysematous Pancreatitis: Diagnosis Time Counts

Fulminant Emphysematous Pancreatitis: Diagnosis Time Counts

Emphysematous pancreatitis with pulmonary embolism: A case report

The Emphysematous Pancreatitis: A Rare Complication of Acute Necrotizing Pancreatitis

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