Understanding Emphyseamtous Pancreatitis: Causes, Diagnosis, and Challenges

Emphysematous pancreatitis is a rare and fatal complication of acute necrotizing pancreatitis. We report a radioclinical observation of a 38 - year - old male patient who consulted for epigastric pain radiating to the back, associated with vomiting and elevated lipasae more than 3 times the normal value. The abdominal computerized tomography (CT) scan carried out on the second 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.