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A Case of Colonic Perforation after Acute Necrotizing Pancreatitis
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¼Û¿µÁø(Song Young-Jin) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°úÇб³½Ç
ÃÖÁ¤½Ä(Choi Jung-Sik) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°ú
¹Ú¼ö¿µ(Park Su-Young) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°ú
¹Ú¿ëÁø(Park Young-Jin) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°ú
¾È¹Î¼º(An Min-Sung) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ¿Ü°úÇб³½Ç
¹è±â¹ü(Bae Ki-Beom) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ¿Ü°úÇб³½Ç
È«°üÈñ(Hong Kwan-Hee) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø ¿Ü°úÇб³½Ç
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.
Å°¿öµå
Acute necrotizing pancreatitis, Colonic perforation
KMID :
0882420140860010059
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