Necrotising haemorrhagic pancreatitis with intra-abdominal hypertension: Case report

Severe necrotising haemorrhagic pancreatitis is a challenging clinical condition that carries a high mortality especially in resource-limited settings. The management requires a multidisciplinary approach in a well-equipped critical care unit. The decision for operative versus conservative management is a close call and one that continues to challenge clinicians. In this case report, we present a 36 years old HIV-infected African male who presented at a tertiary care teaching and referral hospital in Kenya with worsening intra-abdominal bleeding. We highlight the management challenges faced by clinicians and review the literature on this subject.