title: Spontaneous bowel perforation during the course of acute pancreatitis--a case report.
abstract: We recently experienced a case of spontaneous perforation of infected necrosis into the colon and duodenum during the course of acute pancreatitis in a 63 year-old male patient. Enteric perforations or fistulas in the setting of acute pancreatitis implicate severe underlying pathology and have substantial morbidity and mortality. In the meantime it has generally been accepted that infected pancreatic or peripancreatic necrosis should be managed surgically as soon as possible. Enteric perforations in the present case contributed to transient improvement of the patient's infection sign and condition, and thus an early operation was able to be avoided. Delayed surgical management resulted in complete recovery of the patient without postoperative morbidity. Herein we report an unusual complication of acute pancreatitis.
authors.affiliation: Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: H G
authors.initials: HG
authors.lastname: Cho
authors.forename: J P
authors.initials: JP
authors.lastname: Chung
authors.forename: J S
authors.initials: JS
authors.lastname: Yum
authors.forename: H J
authors.initials: HJ
authors.lastname: Park
authors.forename: K S
authors.initials: KS
authors.lastname: Lee
authors.forename: C Y
authors.initials: CY
authors.lastname: Chon
authors.forename: J K
authors.initials: JK
authors.lastname: Kang
authors.forename: I S
authors.initials: IS
authors.lastname: Park
authors.forename: K W
authors.initials: KW
authors.lastname: Kim
authors.forename: H S
authors.initials: HS
authors.lastname: Chi
mesh_terms: D000208:Acute Disease; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*