Korean J Gastroenterol.
2004 Feb;43(2):120-124.
A Case of Jejunal Infarction and Perforation due to Acute Pancreatitis
- Affiliations
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- 1Department of Internal Medicine, Chungbuk National University College of Medicine and Medical Research Institute, Cheongju, Korea. hbchae@chungbuk.ac.kr
- 2Department of General Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
- 3Department of Radiology, Chungbuk National University College of Medicine, Cheongju, Korea.
- 4Department of Pathology, Chungbuk National University College of Medicine, Cheongju, Korea.
- 5Deparment of Internal Medicine, Konkuk University College of Medicine, Chungju, Korea.
Abstract
- Jejunal infarction as a complication of acute pancreatitis is not common and can not be well recognized. This jejunal infarction usually arises from the venous thrombosis rather than arterial thrombosis. Jejunal infarction results in bowel perforation or stenosis according to its extension of injury and progression rate. Pathologic findings of the involved jejunum show a segmental transmural infarction and mesenteric venous thrombotic occlusions. Early diagnosis should be made for better prognosis. We report a patient with jejunal infarction resulting perforation due to acute pancreatitis, in which the initial presenting symptoms were hematemesis and abdominal distention.
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