Necrotizing pancreatitis (NP) represents the severe form of pancreatitis. It is usually represents an acute pancreatitis as necrosis usually tends to occurs early, (within the first 24-48 hours 2) but can also rarely occur with subacute forms.
A key feature is a significant amount of pancreatic gland necrosis associated with the pancreatitis.
Areas of necrosis are seen as non-enhancing low attenuating regions within the pancreas, but observed if a dual phase pancreatic study is performed. Foci of gas may also be present in more extreme cases.
Treatment and prognosis
The presence of necrosis implies a poorer prognosis with mortality rates reported up to 14% 3.