An Unusual Case of Colon Perforation Complicating Acute Pancreatitis

Overview

Journal Case Rep Gastroenterol

Publisher Karger

Specialty Gastroenterology

Date 2010 Nov 25

PMID 21103277

Citations 3

Authors

Anthony A Aghenta

Hack J Kim

Affiliations

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Abstract

Colonic complications of severe acute pancreatitis occur rarely. Although there have been several theories on how pancreatic pseudocysts rupture into the colon, the exact pathogenesis remains unknown. We report an unusual case of pseudocysts complicating severe acute pancreatitis presenting with colonic perforation in a 71-year-old man with a history of chronic mesenteric ischemia. Pressure effects from a giant pseudocyst and intravascular volume depletion with acute insult on chronic mesenteric ischemia are highlighted as possible etiologic factors.

Citing Articles

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A rare case report of ascending colon perforation secondary to acute pancreatitis.

Dhadlie S, Ratnayake S Int J Surg Case Rep. 2019; 55:62-65.

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CT evaluation and clinical factors predicting delayed colonic perforation following acute pancreatitis.

Nakanishi N, Shimono T, Yamamoto A, Miki Y Jpn J Radiol. 2015; 34(1):10-5.

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