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A 66years-old-woman with abdominal pain was admitted. We diagnosed it as severe acute pancreatitis from findings of CT Grade Ⅳ. Pneumoretroperitoneum was recognized on the tertiary disease day and progressed gradually. On the18 disease day,we punctuated it,and pus was absorbed. Percutaneous abscess drainage was performed. Because the amylase value in pus was high, we suspected that pancreatic duct was disrupted and confirmed it on ERCP. ENPD was placed and abscess drainage reduced immediatelydoi:10.11280/gee.51.1159 fatcat:4k2ah6ozwbb5dene2oyq2ws5wy