Department of Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Ann Afr Med. 2023 Jul-Sep;22(3):385-387. doi: 10.4103/aam.aam_245_21.
Emphysematous pancreatitis (EP) is a rare and potentially fatal condition of the pancreas. It is associated with gas-forming bacteria and is characterized by the presence of gas in or around the pancreas. It is identified by a computed tomography scan of the abdomen. Although predisposing factors are not precisely known, diabetes mellitus, which predisposes to gas gangrene, is seen to be commonly associated with patients of EP. EP being potentially fatal requires immediate management. Surgery is generally indicated in EP. However, EP can also managed conservatively. In our case, the patient developed recurrent pancreatitis, the cause being idiopathic, and the second episode of acute pancreatitis was complicated by EP and gastroduodenal artery pseudoaneurysm.
气肿性胰腺炎（EP）是一种罕见且可能致命的胰腺疾病。它与产气细菌有关，其特征是胰腺内或周围有气体。通过腹部计算机断层扫描可以确诊。虽然确切的致病因素尚不清楚，但糖尿病易患气性坏疽，与 EP 患者常见相关。EP 可能致命，需要立即进行治疗。手术通常是 EP 的治疗指征。然而，EP 也可以保守治疗。在我们的病例中，患者反复发作胰腺炎，病因不明，第二次急性胰腺炎发作并发 EP 和胃十二指肠动脉假性动脉瘤。
