|Case 7 :|
A 33-year-old male with acute pain in abdomen. A CT scan abdomen was requested.
What is the diagnosis?
__________SCROLL FOR ANSWER__________
shows large pockets of air within and around parenchyma of pancreas. Peri-pancreatic
fat planes are lost. Collection is seen anterior to the body of pancreas
and in the lesser sac.
emphysematous pancreatitis (sepsis)
is a major complication of pancreatitis and is accompanied by a high
incidence of mortality and prolonged hospital stay. The sure sign on CT is
the presence of gas bubbles within the pancreas or around pancreas, due to
secondary infection by coliform bacteria. Gas is easily differentiated
from fat, as its HU value is beyond -100, and it is jet-black, compared to
fat which is grayish, and has an HU below –100.
debridement, necrosectomy and drainage via pigtail/ sump catheters are the
usual treatment employed for sepsis/ necrosis. The latter have met with
Ashok Raghavan, Manipal Hospital, Bangalore.