A Case of Colonic Perforation after Acute Necrotizing Pancreatitis / 대한내과학회지
Korean Journal of Medicine
; : 59-64, 2014.
Article
em Ko
| WPRIM
| ID: wpr-86796
Biblioteca responsável:
WPRO
ABSTRACT
Colonic perforation after acute necrotizing pancreatitis is a very rare but critical complication. The mortality rate is greater than 50%. Therefore, a high index of suspicion is needed for early detection of the complication. We present a case of a 50-year-old man diagnosed as colonic perforation after acute necrotizing pancreatitis. During the treatment course, fecal material was drained via a pleural drainage tube. Colonic perforation was confirmed on CT scan. The pathogenesis of colonic perforation in this case involved direct spread of pancreatic enzymes and inflammatory exudate. He was treated successfully with colectomy, ileostomy, debridement of necrotic tissue, and drainage.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Ileostomia
/
Tomografia Computadorizada por Raios X
/
Drenagem
/
Mortalidade
/
Colectomia
/
Colo
/
Pancreatite Necrosante Aguda
/
Desbridamento
/
Exsudatos e Transudatos
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2014
Tipo de documento:
Article