The Emphysematous Pancreatitis: A Rare Complication of Acute Necrotizing Pancreatitis

Authors

• Niryinganji Révérien Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Mountassir Shuruk Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Siwane Abdellatif Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Tabakh Houria Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Touil Najwa Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Kacimi Omar Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco
• Chikhaoui Nabil Faculty of Medicine and Pharmacy, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco; Emergency Department of Radiology, Ibn Rochd University Hospital Centre, Casablanca, Morocco

niryinganji@yahoo.fr

Keywords

Abstract

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.