title: [A case of colon obstruction developed during the recovery period of acute pancreatitis].
abstract: Complications of acute pancreatitis usually occur in pancreas and its contiguous organs. The prevalence of colonic invasion is rare, however, the consequence is fatal, with mortality above 50%. The initial symptoms and onset times are variable and major affected sites are transverse colon and splenic flexure. The spread of inflammatory exudates into the colon is the main mechanism of colonic invasion. If the colonic stenosis develops, it is necessary to manage it surgically. We report a case who arrived at the hospital with watery diarrhea and abdominal distension in the recovery period of acute alcoholic pancreatitis and was diagnosed as a colonic obstruction in the splenic flexure. The patient underwent loop ileostomy instead of the resection of the lesion because of severe adhesion around the splenic flexure. The patient died due to sepsis 5 days after the operation.
authors.affiliation: Department of Internal Medicine, Gachon Medical School, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea.
authors.forename: Nak So
authors.initials: NS
authors.lastname: Chung
authors.forename: Yeon Suk
authors.initials: YS
authors.lastname: Kim
authors.forename: Cheul Hee
authors.initials: CH
authors.lastname: Park
authors.forename: Sung Yong
authors.initials: SY
authors.lastname: Kim
authors.forename: Mi Ra
authors.initials: MR
authors.lastname: Lee
authors.forename: Kwang An
authors.initials: KA
authors.lastname: Kwon
authors.forename: Moon Gi
authors.initials: MG
authors.lastname: Chung
authors.forename: Dong Kyun
authors.initials: DK
authors.lastname: Park
authors.forename: Sun Suk
authors.initials: SS
authors.lastname: Kim
authors.forename: So Young
authors.initials: SY
authors.lastname: Kwon
authors.forename: Yang Suh
authors.initials: YS
authors.lastname: Koo
authors.forename: Yu Kyung
authors.initials: YK
authors.lastname: Kim
authors.forename: Duck Joo
authors.initials: DJ
authors.lastname: Choi
authors.forename: Ju Hyun
authors.initials: JH
authors.lastname: Kim
mesh_terms: D000208:Acute Disease; D003108:Colonic Diseases / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*