INTRODUCTION

Acute pancreatitis(AP) have a high morbidity and mortality^[1]. Gastric perforation is a rare complication of AP.

The aims of the present paper were: 1) report a clinical case with a rare presentation of AP (hematemesis) with a slow evolution towards gastric perforation that was remarkable for the absence of celiac axis thrombosis as evidenced by imaging; and 2) review AP in terms of clinical presentation, imaging, risk factors, complications and treatment.