J Korean Assoc Pediatr Surg.  2003 Dec;9(2):113-116.

Colonic Complication of Acute Necrotizing Pancreatitis: a Case Report

• Sohn BS
• Jung JH
• Song YT

Abstract

We present a case of a colonic involvement associated with necrotizing pancreatitis, with a review of the literature. A 10 year old boy had an appendectomy at the local clinic ten days ago. On admission, he complained nausea, vomiting and severe constipation. His abdomen was distended and he had tenderness on the left abdomen. Laboratory and radiologic studies revealed findings consistent with acute pancreatitis with colonic complication. He was treated conservatively for 30 days but did not improve. On hospital 30th day, abdominal pain developed and his vital sign changed. Abdominal CT suggested ischemic change of the transverse colon. At laparotomy, the left colon showed stenosis. The greatly distended transverse colon was resected and a transverse end colostomy was done. He was discharged at postoperative 45th day with improvement and colostomy closure was performed 8 months later.

Keyword

Pancreatitis; Hemorrhagic; Necrotizing; Colonic involvement

MeSH Terms

Abdomen
Abdominal Pain
Appendectomy
Child
Colon*
Colon, Transverse
Colostomy
Constipation
Constriction, Pathologic
Humans
Laparotomy
Male
Nausea
Pancreatitis
Pancreatitis, Acute Necrotizing*
Tomography, X-Ray Computed
Vital Signs
Vomiting