KMID : 0605920030090020113
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Journal of Korean Association of Pediatric Surgeons 2003 Volume.9 No. 2 p.113 ~ p.116
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Colonic Complication of Acute Necrotizing Pancreatitis: a Case Report
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Son Bo-Sung
Song Young-Tack Chung Jae-Hee
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Abstract
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We present a case of a colonic involvement associated with necrotizing pancreatitis, with a review of the literature. A 10 year old boy had an appendectomy at the local, clinic ten days ago. On admission, he complained nausea, vomiting and severe constipation. His abdomen was distended and he had tenderness on the left abdomen. Laboratory and radiologic studies revealed findings consistent with acute pancreatitis with colonic¡¯ complication. He was treated conservatively for 30 days but did not improve. On hospital 30th day, abdominal pain developed and. his vital sign changed. Abdominal CT suggested isehemic change of the transverse colon. At laparotomy, the left colon showed stenosis. The greatly distended transverse colon was resected and a transverse end colostomy was done. He was discharged at postoperative 45th day with improvement and colostomy closure was performed 8 months later.
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KEYWORD
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Pancreatitis, Hemorrhagic, Necrotizing, Colonic involvement
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