A Case of Colon Obstruction Developed during the Recovery Period of Acute Pancreatitis.
- Author:
Nak So CHUNG
1
;
Yeon Suk KIM
;
Cheul Hee PARK
;
Sung Yong KIM
;
Mi Ra LEE
;
Kwang An KWON
;
Moon Gi CHUNG
;
Dong Kyun PARK
;
Sun Suk KIM
;
So Young KWON
;
Yang Suh KOO
;
Yu Kyung KIM
;
Duck Joo CHOI
;
Ju Hyun KIM
Author Information
1. Department of Internal Medicine, Gachon Medical School, Gil Medical Center, Incheon, Korea. drkim@ghil.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Pancreatitis, Acute;
Obstruction, Colon
- MeSH:
Acute Disease;
Colonic Diseases/*complications;
English Abstract;
Humans;
Intestinal Obstruction/*complications;
Male;
Middle Aged;
Pancreatitis/*complications
- From:The Korean Journal of Gastroenterology
2005;45(3):206-209
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Complications of acute pancreatitis usually occur in pancreas and its contiguous organs. The prevalence of colonic invasion is rare, however, the consequence is fatal, with mortality above 50%. The initial symptoms and onset times are variable and major affected sites are transverse colon and splenic flexure. The spread of inflammatory exudates into the colon is the main mechanism of colonic invasion. If the colonic stenosis develops, it is necessary to manage it surgically. We report a case who arrived at the hospital with watery diarrhea and abdominal distension in the recovery period of acute alcoholic pancreatitis and was diagnosed as a colonic obstruction in the splenic flexure. The patient underwent loop ileostomy instead of the resection of the lesion because of severe adhesion around the splenic flexure. The patient died due to sepsis 5 days after the operation.
