Korean J Gastroenterol.  2005 Mar;45(3):206-209.

A Case of Colon Obstruction Developed during the Recovery Period of Acute Pancreatitis

• Chung NS
• Kim YS
• Park CH
• Kim SY
• Lee MR
• Kwon KA
• Chung MG
• Park DK
• Kim SS
• Kwon SY
• Koo YS
• Kim YK
• Choi DJ
• Kim JH

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.

Keyword

Pancreatitis, Acute; Obstruction, Colon

MeSH Terms

Acute Disease
Colonic Diseases/*complications
English Abstract
Humans
Intestinal Obstruction/*complications
Male
Middle Aged
Pancreatitis/*complications