November 12, 2014
Notes: Abraham, Philip
Verma, Pradeep K
Chaphekar, Aniruddha P
Biswal, Upendra Chandra
Malhan, Sundeep T
Randomized Controlled Trial
J Assoc Physicians India. 2013 Aug;61(8):535-8.
Reference Type: Journal Article
Record Number: 4594Author: Acer, T., Malbora, B., Otgun, I., Ozdemir, B. H., Coskun, M., Ozcay, F. and Hicsonmez, A.
Title: Fat necrosis of transverse colon and necrotizing pancreatitis in a patient with acute lymphoblastic leukemia (ALL): cause of massive ascites and high fever
Journal: Turk J Pediatr
Short Title: Fat necrosis of transverse colon and necrotizing pancreatitis in a patient with acute lymphoblastic leukemia (ALL): cause of massive ascites and high fever
Alternate Journal: The Turkish journal of pediatrics
ISSN: 0041-4301 (Print)
Accession Number: 24292046
Pancreatitis, Acute Necrotizing/*complications/diagnosis
Precursor Cell Lymphoblastic Leukemia-Lymphoma/*complications/diagnosis
Tomography, X-Ray Computed
Abstract: We report a nine-year-old boy with acute lymphoblastic leukemia L3 (ALL-L3) and necrotizing pancreatitis in which necrosis was not limited to the pancreas. As our patient had a defective inflammatory process as a result of underlying malignant disease and neutropenia, the peripancreatic collection could not be limited and no pseudocyst was formed. In our patient, the unlimited inflammatory process and pancreatic secretions infiltrated the transverse mesocolon and transverse colon, leading to fat necrosis of the transverse colon, causing massive ascites and high fever. As there was no response to medical treatment, the success was achieved only by surgical resection. The infiltration of surrounding tissue and nearby organs by inflammation and fat necrosis in necrotizing pancreatitis has not been reported previously in a pediatric patient.