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A 32-year-old man was admitted to the intensive therapy unit with multiple-system organ failure 24 hours after the onset of severe acute biliary pancreatitis. Contrast-enhanced abdominal computed tomography (CT) demonstrated extensive (> 50%) pancreatic necrosis and multiple acute fluid collections, particularly around the duodenum. His clinical course was further complicated by infected pancreatic necrosis which required repeated surgical debridement and drainage.

Duodenal Air Dissection Secondary to Intramural Hematoma in Necrotizing Pancreatitis