A Case of Acute Pancreatitis associated with Ulcerative Colitis

Kim, Tae Jung; Kim, Hyo Jong; Chang, Young Woon; Chang, Hyun Ha; Dong, Seok Ho; Kim, Byung Ho; Lee, Joung Il; Chang, Rin

Abstract

Several reports suggest that pancreatitis may occur as an extraintestinal manifestation of inflammatory bowel disease, but its incidence is very rare. Here, we report a case of pancreatitis associated with ulcerative colitis. A 28-year-old male was admitted with abdominal pain and diagnosed as idiopathic acute pancreatitis 3 years ago. Under the management of pancreatitis, bloody diarrhea occurred. On the basis of colonoscopy and colon study, he was also diagnosed as acute ulcerative colitis at the entire colon. Pancreatitis and ulcerative colitis were improved with medication and then, he was discharged. Thereafter, he did not visit the hospital and there was no history of bloody diarrhea or abdominal pain. Three years later, he was readmitted with severe abdominal pain. He was diagnosed as idiopathic acute pancreatitis and acute ulcerative colitis at the rectum. Our investigations yielded no etiology for pancreatitis during his two admission periods. Thus, we can suggest that pancreatitis occur as an extraintestinal manifestation of ulcerative colitis.