DOI: 10.36347/sasjm.2022.v08i04.015

Pages: 308-309

Emphysematous or gangrenous pancreatitis is a rare and fatal complication of acute necrotizing pancreatitis. It is characterised by the presence of gas in the necrotic pancreatic parenchyma and/or peripancreatic collections. The bacteria most often incriminated are gram-negative, notably E. coli, and the route of bacterial dissemination is hematogenous. It is a pathology that occurs in immunodepressed areas, particularly in diabetics. and it is rarely the mode of revelation of the latter, as was the case in our patient. Abdominal CT is the examination of choice for making the diagnosis. %. Its evolution depends on the precocity of antibiotic therapy, which must be aggressive to control the infection, and on percutaneous drainage or surgical debridement, and recovery is generally prolonged.