Pancreatitis secondary to organophosphate insecticide toxicity is rare
and is believed to follow a subclinical and uneventful course. We rep
ort two cases of severe acute pancreatitis complicated by pancreatic n
ecrosis and retroperitoneal sepsis in which the diagnosis was obscured
by the systemic effects of organophosphate toxicity. Awareness of thi
s complication should prompt earlier investigation because early diagn
osis coupled with timely therapeutic measures may improve patient prog
nosis.