Acute pancreatitis: An unusual cause of esophageal stricture

A 25 year-old gentleman with alcohol related acute pancreatitis of 2 month-duration was symptomatic with abdominal pain and fever. Initially, the patient had required admission in ICU for persistent acute lung injury and was diagnosed to have severe acute pancreatitis. Contrast enhanced computed tomography (CECT) of abdomen revealed acute necrotizing pancreatitis with peri-pancreatic necrotic collection extending into left paracolic gutter with air foci. He received intravenous meropenem for pancreatic infection, proton pump inhibitors for stress ulcer prophylaxis and received percutaneous drain as part of step-up approach.

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