Postcolonoscopy pancreatitis

Shekhar, Skand; Singh, Seema; Gupta, Sanjay

doi:10.1055/s-0034-1377379

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…In one case report, Ko et al reported a technically-challenging colonoscopy, which presented as difficulty in navigating the splenic flexure, in a patient who presented with iron deficiency anemia and colonic polyp [ 6 ]. Difficulty in navigating the splenic flexure was also reported by Thomas et al and Shekhar et al in patients whose indications for colonoscopy were diarrhea and cancer surveillance, respectively [ 7 , 9 ]. However, some patients who developed pancreatitis after colonoscopy did not necessarily experience a difficult procedure [ 8 , 10 ].…”

Section: Discussionmentioning

confidence: 85%

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela

et al. 2020

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Abdominal pain is a common but benign symptom after colonoscopy. We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of the colonoscope due to tight angulation of the splenic flexure, a structure that is in close proximity to the pancreatic tail. Acute pancreatitis should be considered in the differential diagnosis of patients who present with abdominal pain after colonoscopy once more common etiologies have been excluded.

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Section: Discussionmentioning

confidence: 85%

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela

et al. 2020

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“…Pancreatitis post gastroscopy is not a well-documented side effect [6][7][8]. In addition to this case there are only five documented cases of pancreatitis post gastroscopy without ampullary cannulation [3,[5][6][7][8] and only three cases post colonoscopy [7,9,10].…”

Section: Discussionmentioning

confidence: 85%

Gastroscopy-Induced Pancreatitis: A Rare Cause of Post-Procedure Abdominal Pain

Fadaee¹,

Clercq²

2019

J Med Cases

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A 52-year-old man presented to the emergency department a few hours post gastroscopy with biopsies of the second part of the duodenum (D2) and colonoscopy with severe acute abdominal pain. On examination he had peri-umbilical tenderness. Subsequent laboratory and biochemical investigations revealed acute pancreatitis. The patient went on to develop complications of acute pancreatitis including bilateral pleural effusions and ascites. He was managed conservatively and was discharged home on day 16 of admission with a plan for elective laparoscopic cholecystectomy in the future.

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“…The splenic flexure is in close proximity to the tail of the pancreas and it is hypothesized that mechanical or barotrauma in this region (from insufflation or abdominal pressure) may precipitate acute pancreatitis. In three of the previously reported cases, the colonoscopy was noted to be technically difficult [3–5]. In one of these cases, the colonoscope initially could not be advanced beyond the splenic flexure and required withdrawal and reinsertion to successfully reach the cecum [3].…”

Section: Discussionmentioning

confidence: 99%

“…A second case also noted technical difficulty with the colonoscope unable to be advanced beyond the splenic flexure despite attempts of repositioning and application of external pressure necessitating the use of a gastroscope to advance beyond this region [4]. Similarly, in a third case, maneuvering and air insufflation at the site of the splenic flexure were required [5].…”

Section: Discussionmentioning

confidence: 99%

Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review

Doshi

Alvarez

Kumar

et al. 2019

Case Reports in Gastrointestinal Medicine

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We report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screening colonoscopy during this admission which was technically uncomplicated apart from requiring slight maneuvering at the splenic flexure. The following day, the patient developed acute epigastric pain and one episode of emesis. Subsequent laboratory evaluation revealed a significantly elevated lipase level and cross-sectional imaging consistent with acute pancreatitis. With no evidence of gallstones, alcohol use, and hypertriglyceridemia, the acute pancreatitis was deemed to be a complication of colonoscopy. The presumed mechanism of the pancreatitis was due to mechanical trauma from insufflation and abdominal pressure, applied to at the splenic flexure, which is in close proximity to the pancreatic tail. The patient was treated with supportive care (intravenous fluid, analgesia, and pancreatic rest) and improved significantly over a three-day period.

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Postcolonoscopy pancreatitis

Cited by 5 publications

References 4 publications

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela

Gastroscopy-Induced Pancreatitis: A Rare Cause of Post-Procedure Abdominal Pain

Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review

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