Emphysematous Pancreatitis as a Life-Threatening Condition: A Case Report and Review of the Literature

Autor: Aleksandar Filipović, Dragan Mašulović, Dušan Bulatović, Miloš Zakošek, Aleksa Igić, Tamara Filipović
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medicina, Vol 60, Iss 3, p 406 (2024)
Druh dokumentu: article
ISSN: 1648-9144
1010-660X
73123137
DOI: 10.3390/medicina60030406
Popis: Emphysematous pancreatitis represents the presence of gas within or around the pancreas on the ground of necrotizing pancreatitis due to superinfection with gas-forming bacteria. This entity is diagnosed on clinical grounds and on the basis of radiologic findings. Computed tomography is the preferred imaging modality used to detect this life-threating condition. The management of emphysematous pancreatitis consists of conservative measures, image-guided percutaneous catheter drainage or endoscopic therapy, and surgical intervention, which is delayed as long as possible and undertaken only in patients who continue to deteriorate despite conservative management. Due to its high mortality rate, early and prompt recognition and treatment of emphysematous pancreatitis are crucial and require individualized treatment with the involvement of a multidisciplinary team. Here, we present a case of emphysematous pancreatitis as an unusual occurrence and discuss disease features and treatment options in order to facilitate diagnostics and therapy.
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