Korean J Gastroenterol.
2002 Jun;39(6):446-449.
A Case of Bowel Infarction Accompanied by Acute Necrotizing Pancreatitis
- Affiliations
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- 1Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. gidrdong@khmc.ac.kr
Abstract
- Colonic involvement of severe acute pancreatis is a rare but potentially lethal complication. It has been estimated that 1% of the patients with acute pancreatitis develop colonic complications such as functional and mechanical ileus, ischemic necrosis, and fistula formation. Acute pancreatitis in the patients with chronic renal failure was caused by mainly progression of systemic atherosclerosis and resulting chronic ischemic injury to the pancreas. A 41-year-old woman with chronic renal failure was admitted with epigastric pain occurred during hemodialysis. Abdominal sonography and CT scan revealed acute necrotizing pancreatitis with peripancreatic abscess complicated with bowel infarction and bowel perforation. The patient underwent laparotomy, which showed severe bowel adhesion and necrosis from jejunum to ascending colon. Colostomy and jejunostomy with irrigation of the abdominal cavity were performed. However, the patient died of sepsis after surgery.
