Descending colon fistula: Unusual complication of severe acute pancreatitis a case report.
Acute pancreatitis
Case report
Colonic fistula
Conservative management
Drainage
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
11
12
2021
revised:
17
02
2022
accepted:
27
02
2022
entrez:
7
4
2022
pubmed:
8
4
2022
medline:
8
4
2022
Statut:
epublish
Résumé
The incidence of colonic complications from acute pancreatitis (AP) and severe AP are 3.3% and 15%, respectively. We report a case of descending colon fistula secondary to severe AP and its management. We report a case of a 35-year-old male hospitalized in our department for severe acute pancreatitis (grade E of Balthazar classification).Initially, the evolution was favorable under medical management. Two months later, he was readmitted for infection of the necrosis with a descending colon fistula. As we did not have the possibility of performing a CT scan drainage, our plan was to do surgical drainage under general anesthesia. The colonic involvement following AP or severe AP is rare and difficult to diagnoses. Conservative treatment when some conditions are available should be the best choice; it is associated with lower risk of morbidity and mortality.
Identifiants
pubmed: 35386763
doi: 10.1016/j.amsu.2022.103426
pii: S2049-0801(22)00186-8
pmc: PMC8977942
doi:
Types de publication
Case Reports
Langues
eng
Pagination
103426Informations de copyright
© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
Références
Dig Surg. 2004;21(1):33-38; discussion 39-40
pubmed: 14707391
Korean J Gastroenterol. 2010 Jan;55(1):46-51
pubmed: 20098066
Int J Surg Case Rep. 2019;55:62-65
pubmed: 30690284
Pancreatology. 2008;8(2):211-8
pubmed: 18434759
J Gastrointest Surg. 2014 Jan;18(1):164-70; discussion 170-1
pubmed: 24002755
World J Surg. 1989 Jan-Feb;13(1):84-7; discussion 87
pubmed: 2728464
Yonsei Med J. 1996 Apr;37(2):158-64
pubmed: 8711939
Br J Surg. 1989 Apr;76(4):362-7
pubmed: 2655821
Ann Ital Chir. 1995 Mar-Apr;66(2):223-31
pubmed: 7668499
Jpn J Radiol. 2016 Jan;34(1):10-5
pubmed: 26507985
BMC Gastroenterol. 2015 Jul 25;15:87
pubmed: 26209440
AJR Am J Roentgenol. 2008 Mar;190(3):643-9
pubmed: 18287434
Radiology. 2002 Jun;223(3):603-13
pubmed: 12034923
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
AJR Am J Roentgenol. 2004 Mar;182(3):569-74
pubmed: 14975947
Pancreatology. 2008;8(2):153-8
pubmed: 18382101
AJR Am J Roentgenol. 1977 Jun;128(6):943-8
pubmed: 414559
HPB (Oxford). 2003;5(3):183-5
pubmed: 18332982