Two cases of colonic obstruction after acute pancreatitis
Several forms of colonic complications are rarely observed during the clinical course of acute pancreatitis, and potentially fatal in some cases. Colonic lesions associated with acute pancreatitis can be divided into several groups from a pathogenic point of view. Possible pathogenesis includes: 1)...
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| Veröffentlicht in: | The Korean journal of gastroenterology 2009-09, Vol.54 (3), p.180-185 |
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| container_end_page | 185 |
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| container_issue | 3 |
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| container_title | The Korean journal of gastroenterology |
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| creator | Pyun, Dae Keun Kim, Kyung Jo Ye, Byong Duk Byeon, Jeong Sik Myung, Seung Jae Yang, Suk Kyun Kim, Jin Ho Yoon, Sang Nam |
| description | Several forms of colonic complications are rarely observed during the clinical course of acute pancreatitis, and potentially fatal in some cases. Colonic lesions associated with acute pancreatitis can be divided into several groups from a pathogenic point of view. Possible pathogenesis includes: 1) spread of pancreatic enzymes through the retroperitoneum to mesocolon, causing pericolitis, 2) external inflammatory compression by mesocolic mass secondary to necrosis of fatty tissue, and 3) hypotension due to shock, and thrombosis of mesenteric arteries. These might lead to colonic infarction, fistula formation, perforation, and obstruction during follow-up. We report two cases of colonic obstruction following acute pancreatitis with possible different mechanisms and review Korean cases. One patient developed colonic obstruction due to severe necrotizing pancreatitis, possibly as a result of pericolitis, and the other developed stenosis as a result of ischemic colitis induced by acute pancreatitis. |
| doi_str_mv | 10.4166/kjg.2009.54.3.180 |
| format | Article |
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Colonic lesions associated with acute pancreatitis can be divided into several groups from a pathogenic point of view. Possible pathogenesis includes: 1) spread of pancreatic enzymes through the retroperitoneum to mesocolon, causing pericolitis, 2) external inflammatory compression by mesocolic mass secondary to necrosis of fatty tissue, and 3) hypotension due to shock, and thrombosis of mesenteric arteries. These might lead to colonic infarction, fistula formation, perforation, and obstruction during follow-up. We report two cases of colonic obstruction following acute pancreatitis with possible different mechanisms and review Korean cases. One patient developed colonic obstruction due to severe necrotizing pancreatitis, possibly as a result of pericolitis, and the other developed stenosis as a result of ischemic colitis induced by acute pancreatitis.</description><identifier>ISSN: 1598-9992</identifier><identifier>DOI: 10.4166/kjg.2009.54.3.180</identifier><identifier>PMID: 19844155</identifier><language>kor</language><publisher>Korea (South)</publisher><subject>Acute Disease ; Colonic Diseases - diagnosis ; Colonic Diseases - etiology ; Constriction, Pathologic - diagnosis ; Diagnosis, Differential ; Humans ; Intestinal Obstruction - diagnosis ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Male ; Middle Aged ; Pancreatitis - complications ; Pancreatitis - diagnosis ; Pancreatitis, Acute Necrotizing - complications ; Pancreatitis, Acute Necrotizing - diagnosis ; Tomography, X-Ray Computed</subject><ispartof>The Korean journal of gastroenterology, 2009-09, Vol.54 (3), p.180-185</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c166t-d18f05bf5b527e0f81e3701afef0bdd8087f89108a3f4a24338bfd58d7b6fa853</cites><orcidid>0000-0003-0585-4016 ; 0000-0001-6647-6325</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19844155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pyun, Dae Keun</creatorcontrib><creatorcontrib>Kim, Kyung Jo</creatorcontrib><creatorcontrib>Ye, Byong Duk</creatorcontrib><creatorcontrib>Byeon, Jeong Sik</creatorcontrib><creatorcontrib>Myung, Seung Jae</creatorcontrib><creatorcontrib>Yang, Suk Kyun</creatorcontrib><creatorcontrib>Kim, Jin Ho</creatorcontrib><creatorcontrib>Yoon, Sang Nam</creatorcontrib><title>Two cases of colonic obstruction after acute pancreatitis</title><title>The Korean journal of gastroenterology</title><addtitle>Korean J Gastroenterol</addtitle><description>Several forms of colonic complications are rarely observed during the clinical course of acute pancreatitis, and potentially fatal in some cases. Colonic lesions associated with acute pancreatitis can be divided into several groups from a pathogenic point of view. Possible pathogenesis includes: 1) spread of pancreatic enzymes through the retroperitoneum to mesocolon, causing pericolitis, 2) external inflammatory compression by mesocolic mass secondary to necrosis of fatty tissue, and 3) hypotension due to shock, and thrombosis of mesenteric arteries. These might lead to colonic infarction, fistula formation, perforation, and obstruction during follow-up. We report two cases of colonic obstruction following acute pancreatitis with possible different mechanisms and review Korean cases. One patient developed colonic obstruction due to severe necrotizing pancreatitis, possibly as a result of pericolitis, and the other developed stenosis as a result of ischemic colitis induced by acute pancreatitis.</description><subject>Acute Disease</subject><subject>Colonic Diseases - diagnosis</subject><subject>Colonic Diseases - etiology</subject><subject>Constriction, Pathologic - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Intestinal Obstruction - diagnosis</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pancreatitis - complications</subject><subject>Pancreatitis - diagnosis</subject><subject>Pancreatitis, Acute Necrotizing - complications</subject><subject>Pancreatitis, Acute Necrotizing - diagnosis</subject><subject>Tomography, X-Ray Computed</subject><issn>1598-9992</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0L1OwzAUBWAPIFqVPgALysSWcB3bsT2iij-pEkuZLduxkSGNi-0I8fakaiWmu5xzdPUhdIOhobjr7r8-P5oWQDaMNqTBAi7QEjMpaillu0DrnIMBBpxQLuQVWmApKMWMLZHc_cTK6uxyFX1l4xDHYKtockmTLSGOlfbFpUrbqbjqoEebnC6hhHyNLr0esluf7wq9Pz3uNi_19u35dfOwre38Wal7LDww45lhLXfgBXaEA9beeTB9L0BwLyQGoYmnuqWECON7JnpuOq8FIyt0d9o9pPg9uVzUPmTrhkGPLk5ZdbyTHVCYg_gUtCnmnJxXhxT2Ov0qDOrIpGYmdWRSjCqiZqa5c3sen8ze9f-NMxD5A_BwZg0</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Pyun, Dae Keun</creator><creator>Kim, Kyung Jo</creator><creator>Ye, Byong Duk</creator><creator>Byeon, Jeong Sik</creator><creator>Myung, Seung Jae</creator><creator>Yang, Suk Kyun</creator><creator>Kim, Jin Ho</creator><creator>Yoon, Sang Nam</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0585-4016</orcidid><orcidid>https://orcid.org/0000-0001-6647-6325</orcidid></search><sort><creationdate>200909</creationdate><title>Two cases of colonic obstruction after acute pancreatitis</title><author>Pyun, Dae Keun ; Kim, Kyung Jo ; Ye, Byong Duk ; Byeon, Jeong Sik ; Myung, Seung Jae ; Yang, Suk Kyun ; Kim, Jin Ho ; Yoon, Sang Nam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c166t-d18f05bf5b527e0f81e3701afef0bdd8087f89108a3f4a24338bfd58d7b6fa853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2009</creationdate><topic>Acute Disease</topic><topic>Colonic Diseases - diagnosis</topic><topic>Colonic Diseases - etiology</topic><topic>Constriction, Pathologic - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Intestinal Obstruction - diagnosis</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pancreatitis - complications</topic><topic>Pancreatitis - diagnosis</topic><topic>Pancreatitis, Acute Necrotizing - complications</topic><topic>Pancreatitis, Acute Necrotizing - diagnosis</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pyun, Dae Keun</creatorcontrib><creatorcontrib>Kim, Kyung Jo</creatorcontrib><creatorcontrib>Ye, Byong Duk</creatorcontrib><creatorcontrib>Byeon, Jeong Sik</creatorcontrib><creatorcontrib>Myung, Seung Jae</creatorcontrib><creatorcontrib>Yang, Suk Kyun</creatorcontrib><creatorcontrib>Kim, Jin Ho</creatorcontrib><creatorcontrib>Yoon, Sang Nam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Korean journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pyun, Dae Keun</au><au>Kim, Kyung Jo</au><au>Ye, Byong Duk</au><au>Byeon, Jeong Sik</au><au>Myung, Seung Jae</au><au>Yang, Suk Kyun</au><au>Kim, Jin Ho</au><au>Yoon, Sang Nam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two cases of colonic obstruction after acute pancreatitis</atitle><jtitle>The Korean journal of gastroenterology</jtitle><addtitle>Korean J Gastroenterol</addtitle><date>2009-09</date><risdate>2009</risdate><volume>54</volume><issue>3</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>1598-9992</issn><abstract>Several forms of colonic complications are rarely observed during the clinical course of acute pancreatitis, and potentially fatal in some cases. 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| issn | 1598-9992 |
| language | kor |
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| source | KoreaMed Synapse; MEDLINE; DOAJ Directory of Open Access Journals; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals |
| subjects | Acute Disease Colonic Diseases - diagnosis Colonic Diseases - etiology Constriction, Pathologic - diagnosis Diagnosis, Differential Humans Intestinal Obstruction - diagnosis Intestinal Obstruction - etiology Intestinal Obstruction - surgery Male Middle Aged Pancreatitis - complications Pancreatitis - diagnosis Pancreatitis, Acute Necrotizing - complications Pancreatitis, Acute Necrotizing - diagnosis Tomography, X-Ray Computed |
| title | Two cases of colonic obstruction after acute pancreatitis |
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