Acute Pancreatitis Complicated With Hemorrhagic Pancreatitis And Duodenal Ulceration

Abstract

Acute pancreatitis is a disease with broad spectrum of presentation and has high morbidity and mortality despite of intensive supportive care. Hemorrhagic pancreatitis is one of the calamitous countenance of this ailment unless diagnosed and treated early. Here we are presenting a case of hemorrhagic pancreatitis which presented with seemingly benign symptoms. Thorough clinical evaluation and felicitous use of bedside ultrasonogram (USG) helped to identify this mortal disease. It was complicated due to the presence of ongoing bleed and severe anemia. Patient was transfused and subjected to emergency  angiographic embolization. Pancreatitis can be very rarely complicated by duodenal ulceration or hematoma due to the effect  of bile, pancreatic juice or elevated pancreatic ductal hypertension, which was also seen in this patient. Despite of all this grave impediments his condition dramatically improved and was discharged.