The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2005
[A case of colon obstruction developed during the recovery period of acute pancreatitis].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Chung Nak So, Kim Yeon Suk, Park Cheul Hee, Kim Sung Yong, Lee Mi Ra, Kwon Kwang An, Chung Moon Gi, Park Dong Kyun, Kim Sun Suk, Kwon So Young, Koo Yang Suh, Kim Yu Kyung, Choi Duck Joo, Kim Ju Hyun
Аннотация
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.