We present a case of a colonic involvement associated with necrotizing pancreatitis, with a review of the literature. A 10 year old boy had an appendectomy at the local clinic ten days ago. On admission, he complained nausea, vomiting and severe constipation. His abdomen was distended and he had tenderness on the left abdomen. Laboratory and radiologic studies revealed findings consistent with acute pancreatitis with colonic complication. He was treated conservatively for 30 days but did not improve. On hospital 30th day, abdominal pain developed and his vital sign changed. Abdominal CT suggested ischemic change of the transverse colon. At laparotomy, the left colon showed stenosis. The greatly distended transverse colon was resected and a transverse end colostomy was done. He was discharged at postoperative 45th day with improvement and colostomy closure was performed 8 months later.
A Case of Colonic Perforation after Acute Necrotizing Pancreatitis Young Jin Song, Jung Sik Choi, Su Young Park, Young Jin Park, Min Sung An, Ki Beom Bae, Kwan Hee Hong Korean Journal of Medicine.2014; 86(1): 59. CrossRef
Two Cases of Colonic Obstruction after Acute Pancreatitis Dae Keun Pyun, Kyung Jo Kim, Byong Duk Ye, Jeong Sik Byeon, Seung Jae Myung, Suk Kyun Yang, Jin Ho Kim, Sang Nam Yoon The Korean Journal of Gastroenterology.2009; 54(3): 180. CrossRef
