Abstract:
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.
