Emphysematous pancreatitis: a rare entity with characteristic radiological findings.
Fernando Ramírez EstesoEsther Domínguez FerrerasFrancisco Domper BardajíMaría Rodríguez GonzálezPublished in: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (2021)
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.
Keyphrases
- septic shock
- computed tomography
- ultrasound guided
- dual energy
- positron emission tomography
- image quality
- contrast enhanced
- chronic pain
- magnetic resonance imaging
- emergency department
- pain management
- case report
- minimally invasive
- neuropathic pain
- sleep quality
- physical activity
- depressive symptoms
- spinal cord
- radiofrequency ablation
- spinal cord injury
- pet ct