Saudi Journal of Gastroenterology
Home About us Instructions Submission Subscribe Advertise Contact Login    Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
Users Online: 645 

Table of Contents   
Year : 2013  |  Volume : 19  |  Issue : 3  |  Page : 136-137
Acute abdomen associated with retroperitoneal gas

1 Department of Surgery, Lady Hardinge Medical College, Delhi, India
2 Department of Surgery, Dr. RML Hospital, Delhi, India

Click here for correspondence address and email

Date of Web Publication16-May-2013

How to cite this article:
Gupta N, Kala S, Sharma D. Acute abdomen associated with retroperitoneal gas. Saudi J Gastroenterol 2013;19:136-7

How to cite this URL:
Gupta N, Kala S, Sharma D. Acute abdomen associated with retroperitoneal gas. Saudi J Gastroenterol [serial online] 2013 [cited 2022 Aug 17];19:136-7. Available from:

A 50-year old male presented to the emergency department with abdominal pain for 3 days associated with non- bilious vomiting and constipation. There was a history of high-grade fever for 1 day. There was a history of such episodes in the past. He was a chronic smoker and alcoholic. On examination, his pulse rate was found to be 110/min, blood pressure (BP) was 90/70 mmHg and there was no icterus. There was diffuse tenderness and guarding all over the abdomen, and bowel sounds were absent. His laboratory investigations revealed hemoglobin (Hb) 8g%, total leukocyte count 18,000/mm 3 , bilirubin 1.1mg%, urea 18mg%, and amylase 1218 IU. Abdominal X-ray did not reveal any pneumoperitoneum. Abdominal sonography showed dilated bowel loops with minimal inter-loop fluid, normally distended gall bladder, and obscured retroperitoneum. Contrast-enhanced computerized tomographic (CT) scan of the abdomen was carried out, which showed a bulky pancreas with non-enhancing areas in the body and tail. Extensive gas, and a few collections were seen in the peripancreatic region [Figure 1].
Figure 1: CT image showing retroperitoneal gas

Click here to view

   Questions Top

Q1. What is the diagnosis?
Q2. How would you manage this condition?

Click here to view answer. View Answer

   References Top

1.Wig JD, Kochhar R, Bharathy KG, Kudari AK, Doley RP, Yadav TD, et al. Emphysematous pancreatitis. Radiological curiosity or a cause for concern? JOP 2008;9:160-6.  Back to cited text no. 1
2.Ghidirim G, Gagauz I, Miºin I, Guþu E, Vozian M. [Emphysematous necrotizing pancreatitis]. Chirurgia (Bucur) 2005;100:293-6.  Back to cited text no. 2
3.Omezzine SJ, Hmida N, Hamza HA. Emphysematous pancreatitis: The utility of CT. Radiography 2009;15:182-4.  Back to cited text no. 3

Correspondence Address:
Nikhil Gupta
B 406 Panchsheel Apartments, Plot 9, Sector 10, Dwarka, Delhi- 110 075
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.111957

Rights and Permissions


  [Figure 1]


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  

    Article Figures

 Article Access Statistics
    PDF Downloaded343    
    Comments [Add]    

Recommend this journal