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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.

Reference values of haematological parameters of healthy adults in the north central zone of Nigeria