Strangulation of the colon complicating acute pancreatitis.
We report a patient with alcohol-induced necrotizing pancreatitis who developed a severe ileus followed by incarceration of a portion of the transverse colon within a ventral hernia. Laparotomy 9 days after the onset of symptoms revealed infarction of the transverse colon and infection of the pancreas. This is the first report of a case of acute pancreatitis that led to a strangulated ventral hernia of the colon. We believe that the enteric organisms that infected the pancreas originated in the incarcerated transverse colon.
Tenner
S
S
Center For Pancreatic Disease, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Silverman
S G
SG
Brooks
D
D
Banks
P A
PA
D000208:Acute Disease; D000368:Aged; D000437:Alcoholism / Q000150:complications; D003106:Colon / Q000098:blood supply*; D013293:Enterococcus faecalis; D004927:Escherichia coli Infections / Q000209:etiology; D016908:Gram-Positive Bacterial Infections / Q000209:etiology; D006555:Hernia, Ventral / Q000150:complications*; D006801:Humans; D007238:Infarction / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology; D007710:Klebsiella Infections / Q000209:etiology; D008297:Male; D010195:Pancreatitis / Q000150:complications* / Q000382:microbiology