November 12, 2014
Notes: Shi, Liang-Liang
World J Gastroenterol. 2013;19(14):2179-86. doi: 10.3748/wjg.v19.i14.2179.
Author Address: Department of Gastroenterology, Medical School, the Affiliated Drum Tower Hospital of Nanjing University, Nanjing 210008, Jiangsu Province, China.
Reference Type: Journal Article
Record Number: 5305Author: Siddiqui, M. A., Jain, A., Rizvi, S. A., Ahmad, K., Ullah, E. and Ahmad, I.
Title: Necrotizing colitis complicating necrotized pancreatitis: look out for intestinal pneumatosis
Short Title: Necrotizing colitis complicating necrotized pancreatitis: look out for intestinal pneumatosis
Alternate Journal: JBR-BTR : organe de la Societe royale belge de radiologie
ISSN: 0302-7430 (Print)
Accession Number: 23610875
Anti-Bacterial Agents/therapeutic use
Pancreatitis, Acute Necrotizing/*complications/drug therapy/*radiography
Pneumatosis Cystoides Intestinalis/*etiology/*radiography
Tomography, X-Ray Computed/methods
Abstract: Acute pancreatitis is a common cause of acute abdominal pain and is associated with a wide variety of complications. Pancreatic necrosis is one of the most important complications and is considered to be the most important indicator of disease severity as the increased frequency of death in acute pancreatitis is directly correlated with the development and extent of pancreatic necrosis. In addition to pancreatic necrosis, wide spectrums of colonic complications have been described, including functional and mechanical ileus, ischemic necrosis and fistula formation. In acute pancreatitis bowel ischemia usually involves the transverse colon or the hepatic and splenic flexures and may range in severity from mild superficial mural involvement to transmural colonic necrosis.This article reports a case of large bowel infarction as a complication of severe necrotizing pancreatitis in a 35-year-old male patient.