[A case of colon obstruction developed during the recovery period of acute pancreatitis].
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.
Chung
Nak So
NS
Department of Internal Medicine, Gachon Medical School, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea.
Kim
Yeon Suk
YS
Park
Cheul Hee
CH
Kim
Sung Yong
SY
Lee
Mi Ra
MR
Kwon
Kwang An
KA
Chung
Moon Gi
MG
Park
Dong Kyun
DK
Kim
Sun Suk
SS
Kwon
So Young
SY
Koo
Yang Suh
YS
Kim
Yu Kyung
YK
Choi
Duck Joo
DJ
Kim
Ju Hyun
JH
D000208:Acute Disease; D003108:Colonic Diseases / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*