Korean J Med.
2014 Jan;86(1):59-64. 10.3904/kjm.2014.86.1.59.
A Case of Colonic Perforation after Acute Necrotizing Pancreatitis
- Affiliations
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- 1Department of Internal Medicine, Busan Paik Hospital, Inje University Collage of Medicine, Busan, Korea. cwj1225@naver.com
- 2Department of General Surgery, Busan Paik Hospital, Inje University Collage of Medicine, Busan, Korea.
- KMID: 1867318
- DOI: http://doi.org/10.3904/kjm.2014.86.1.59
Abstract
- Colonic perforation after acute necrotizing pancreatitis is a very rare but critical complication. The mortality rate is greater than 50%. Therefore, a high index of suspicion is needed for early detection of the complication. We present a case of a 50-year-old man diagnosed as colonic perforation after acute necrotizing pancreatitis. During the treatment course, fecal material was drained via a pleural drainage tube. Colonic perforation was confirmed on CT scan. The pathogenesis of colonic perforation in this case involved direct spread of pancreatic enzymes and inflammatory exudate. He was treated successfully with colectomy, ileostomy, debridement of necrotic tissue, and drainage.
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