A rare case report of ascending colon perforation secondary to acute pancreatitis

Dhadlie, Sunny; Ratnayake, Sujith

doi:10.1016/j.ijscr.2018.12.010

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…Little has been reported on descending colon pathology in association with AP: case of stenosis after severe AP [ 7 ] and case of stercoral perforation [ 8 ] . Recently, Dhadlie [ 9 ] report one case of ascending colon perforation.…”

Section: Discussionmentioning

confidence: 99%

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Descending colon fistula: Unusual complication of severe acute pancreatitis a case report

Zaafouri

Dawood

Mesbahi

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

“…Although surgical intervention with colon resection may be difficult, complicated and associated with higher risk of mortality, it should be reserved only for nonviable colon. In Aldridge series [ 9 ], ten patients had colon resection and six of them resection may be not necessary (histopathological examination showed only pericolitis).…”

Section: Discussionmentioning

confidence: 99%

Descending colon fistula: Unusual complication of severe acute pancreatitis a case report

Zaafouri

Dawood

Mesbahi

et al. 2022

Annals of Medicine &Amp; Surgery

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“…One study reported that the morbidity and mortality of gallbladder perforation are 37.5% and 12.5%, respectively[ 4 ]. Gastrointestinal fistula most commonly occurs in the colon, with an incidence of 3.3% in acute pancreatitis (AP) and 15% in SAP[ 5 ], which can also involve the duodenum, stomach, and small intestine[ 6 ]. Compared with patients without colon complications, SAP patients with colon involvement have significantly higher morbidity and mortality (54% for colonic necrosis)[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous gallbladder perforation and colon fistula in hypertriglyceridemia-related severe acute pancreatitis: A case report

Wang¹,

Chen²,

Sun³

et al. 2022

WJCC

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BACKGROUND Gallbladder perforation and gastrointestinal fistula are rare but serious complications of severe acute pancreatitis (SAP). However, neither spontaneous gallbladder perforation nor cholecysto-colonic fistula has been reported in acalculous acute pancreatitis patients. CASE SUMMARY A 31-year-old male presenting with epigastric pain was diagnosed with hypertriglyceridemia-related SAP. He suffered from multiorgan failure and was able to leave the intensive care unit on day 20. Three percutaneous drainage tubes were placed for profound exudation in the peripancreatic region and left paracolic sulcus. He developed spontaneous gallbladder perforation with symptoms of fever and right upper quadrant pain 1 mo after SAP onset and was stabilized by percutaneous drainage. Peripancreatic infection appeared 1 mo later and was treated with antibiotics but without satisfactory results. Then multiple colon fistulas, including a cholecysto-colonic fistula and a descending colon fistula, emerged 3 mo after the onset of SAP. Nephroscopy-assisted peripancreatic debridement and ileostomy were carried out immediately. The fistulas achieved spontaneous closure 7 mo later, and the patient recovered after cholecystectomy and ileostomy reduction. We presume that the causes of gallbladder perforation are poor bile drainage due to external pressure, pancreatic enzyme erosion, and ischemia. The possible causes of colon fistulas are pancreatic enzymes or infected necrosis erosion, ischemia, and iatrogenic injury. According to our experience, localized gallbladder perforation can be stabilized by percutaneous drainage. Pancreatic debridement and proximal colostomy followed by cholecystectomy are feasible and valid treatment options for cholecysto-colonic fistulas. CONCLUSION Gallbladder perforation and cholecysto-colonic fistula should be considered in acalculous SAP patients.

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“…Acute gallstone pancreatitis' recurrence is related to the utilization of healthcare resources and significant morbidity. Therefore, cholecystectomy should be performed during hospitalization after every case of AP (Dhadlie & Ratnayake, 2019).…”

Section: Introductionmentioning

confidence: 99%

Near‐infrared optical spectroscopy for pancreas shrinkage estimation with multi synchrosqueezing transform and multivariate regression model

Priyadharshini¹,

Prem²,

Suresh³

2021

Microscopy Res & Technique

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In this article, we proposed a method to estimate pancreas shrinkage with pancreas β cell insulin secretion. The β cells in the pancreas secrete insulin and digestive enzymes after food consumption. Conventionally, the pancreas structure estimation is done with magnetic resonance imaging (MRI) and ultrasound imaging techniques. However, the structure of the pancreas changes due to islet cell death. The presence of islet cells is detected through near infrared (NIR) spectroscopy signal acquired from the epigastric region (pancreas) of the abdomen. Subsequently, the NIR spectroscopy signal from the pancreas is analyzed with multi synchrosqueezing transform (MSST); whereas, the β cell insulin secretion varies for diabetic and nondiabetic persons. The existence of β cell and insulin secretion correlates with Root Mean Square (RMS) and kurtosis via a multivariate regression model to evaluate pancreas shrinkage. In terms of numerical results, NIR spectroscopy signal from the pancreas was obtained for about 20 nondiabetic and 20 diabetic persons. The pancreas shrinkage was estimated with 88% accuracy. The results are validated with MRI pancreas images for earlier detection of the apoptotic pancreas. The pancreas shrinkage causes lower insulin emission and unpredictable blood glucose in diabetic patients. Analysis of NIR spectroscopy signals of the pancreas with MSST was done to obtain higher‐order and lower‐order frequency components.

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A rare case report of ascending colon perforation secondary to acute pancreatitis

Cited by 8 publications

References 6 publications

Descending colon fistula: Unusual complication of severe acute pancreatitis a case report

Descending colon fistula: Unusual complication of severe acute pancreatitis a case report

Spontaneous gallbladder perforation and colon fistula in hypertriglyceridemia-related severe acute pancreatitis: A case report

Near‐infrared optical spectroscopy for pancreas shrinkage estimation with multi synchrosqueezing transform and multivariate regression model

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