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Emerg Med J doi:10.1136/emermed-2012-202214
  • Images in emergency medicine

Emphysematous pancreatitis

  1. Akira Kuriyama2
  1. 1Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  2. 2Department of General Medicine, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  1. Correspondence to Dr Akira Kuriyama, Department of General Medicine, Kurashiki Central Hospital, 1-1-1 Miwa Kurashiki, Okayama 710-8602, Japan; nrk40448{at}nifty.com
  • Received 28 November 2012
  • Revised 28 November 2012
  • Accepted 30 November 2012
  • Published Online First 10 January 2013

A 74-year-old man with diabetes mellitus presented with a 2-day history of fever and diarrhoea. On examination, the patient had epigastric tenderness without abdominal distension. Serum amylase and lipase were slightly elevated. Contrast-enhanced CT revealed air bubbles in the swollen pancreas parenchyma and …