case_images: PMC9922199_01
case_images: CT of the abdomen and pelvis with contrast revealing extensive peripancreatic inflammatory changes, extending to the adjacent pylorus and duodenum suggestive of moderate-to-severe pancreatitis. There is also notable intrahepatic and extrahepatic biliary ductal dilation.
case_images: cureus-0015-00000033717-i01.jpg
case_images: PMC9922199_01_cureus-0015-00000033717-i01.jpg
case_images: FIG1
case_images: There was also an increased size of the intrahepatic and extrahepatic biliary ducts with a surgically removed gallbladder with no evidence of gallstones (Figure 1).
case_images: Chest X-ray on presentation revealing bilateral infiltrates suggestive of viral pneumonia with some bibasilar pleural effusions.
case_images: cureus-0015-00000033717-i02.jpg
case_images: PMC9922199_01_cureus-0015-00000033717-i02.jpg
case_images: FIG2
case_images: A chest X-ray revealed bibasilar infiltrates suggestive of underlying COVID-19 pneumonia with some bilateral pleural effusions (Figure 2).
case_images: CT of the abdomen and pelvis revealing extensive gas collection in the retroperitoneum extending to the root of the mesentery and left pararenal space consistent with emphysematous pancreatitis.
case_images: cureus-0015-00000033717-i03.jpg
case_images: PMC9922199_01_cureus-0015-00000033717-i03.jpg
case_images: FIG3
case_images: A repeat stat CT of the abdomen and pelvis revealed extensive gas collection in the retroperitoneum that extended to the root of the mesentery and left pararenal space, consistent with emphysematous pancreatitis (Figure 3).