**8.3. Septic emboli to the pancreas**

Pancreatic septic emboli have been described in the setting of multi-visceral SE [75]. Due to the disproportionate severity of concurrent embolic events, pancreatic SE is likely under-reported and under-appreciated. Clinical presentation of pancreatic SE may resemble that of pancreatitis (e.g., abdominal pain, elevated serum amylase/lipase, leukocytosis, and peri-pancreatic inflammatory changes on advanced imaging) [2]. The range of possible clinical presentations spans from that of self-limited pancreatitis to an overwhelming necrotizing infection. Associated findings may also include vascular abnormalities (e.g., pseudoaneurysms) involving nearby vasculature (i.e., pancreaticoduodenal artery) on advanced imaging [123].
