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http://dx.doi.org/10.3904/kjm.2014.86.1.59

A Case of Colonic Perforation after Acute Necrotizing Pancreatitis  

Song, Young Jin (Department of Internal Medicine, Busan Paik Hospital, Inje University Collage of Medicine)
Choi, Jung Sik (Department of Internal Medicine, Busan Paik Hospital, Inje University Collage of Medicine)
Park, Su Young (Department of Internal Medicine, Busan Paik Hospital, Inje University Collage of Medicine)
Park, Young Jin (Department of Internal Medicine, Busan Paik Hospital, Inje University Collage of Medicine)
An, Min Sung (Department of General Surgery, Busan Paik Hospital, Inje University Collage of Medicine)
Bae, Ki Beom (Department of General Surgery, Busan Paik Hospital, Inje University Collage of Medicine)
Hong, Kwan Hee (Department of General Surgery, Busan Paik Hospital, Inje University Collage of Medicine)
Publication Information
The Korean Journal of Medicine / v.86, no.1, 2014 , pp. 59-64 More about this Journal
Abstract
Colonic perforation after acute necrotizing pancreatitis is a very rare but critical complication. The mortality rate is greater than 50%. Therefore, a high index of suspicion is needed for early detection of the complication. We present a case of a 50-year-old man diagnosed as colonic perforation after acute necrotizing pancreatitis. During the treatment course, fecal material was drained via a pleural drainage tube. Colonic perforation was confirmed on CT scan. The pathogenesis of colonic perforation in this case involved direct spread of pancreatic enzymes and inflammatory exudate. He was treated successfully with colectomy, ileostomy, debridement of necrotic tissue, and drainage.
Keywords
Acute necrotizing pancreatitis; Colonic perforation;
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Times Cited By KSCI : 2  (Citation Analysis)
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