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Park: Splenic Flexure Stricture Caused by Acute Pancreatitis
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Korean J Gastroenterol 2013;61(3):174-176.

Published online: 4 October 2013

DOI: https://doi.org/10.4166/kjg.2013.61.3.174

Splenic Flexure Stricture Caused by Acute Pancreatitis

Jeong Youp Park

Division of Gastroenterology, Department of Internal Medicine, Yonsei Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea

Correspondence to: Jeong Youp Park, Division of Gastroenterology, Department of Internal Medicine, Yonsei Institute of Gastroenterology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-749, Korea. Tel: +82-2-2228-1937, Fax: +82-2-2227-7900, E-mail: sensass@yuhs.ac

Copyright © 2013 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. L'Hermine C, Pringot J, Monnier JP, et al. Colonic complications of pancreatitis. A report on 39 cases (author's transl). J Radiol. 1980; 61:27–34.
2. Maisonnette F, Abita T, Pichon N, et al. Development of colonic stenosis following severe acute pancreatitis. HPB (Oxford). 2003; 5:183–185.
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3. Mair WS, McMahon MJ, Goligher JC. Stenosis of the colon in acute pancreatitis. Gut. 1976; 17:692–695.
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4. Tenner S, Sica G, Hughes M, et al. Relationship of necrosis to ogan failure in severe acute pancreatitis. Gastroenterology. 1997; 113:899–903.
5. Adams DB, Davis BR, Anderson MC. Colonic complications of pancreatitis. Am Surg. 1994; 60:44–49.
6. Kriwanek S, Armbruster C, Beckerhinn P, Dittrich K, Redl E. Improved results after aggressive treatment of colonic involvement in necrotizing pancreatitis. Hepatogastroenterology. 1996; 43:1627–1632.
7. Yoo SS, Choi SK, Lee DH, et al. A case of colon obstruction developed as a complication of acute pancreatitis. Korean J Gastroenterol. 2008; 51:255–258.

Fig. 1.
Abdominal CT showed peripancreatic fat infiltration and the collection of fluid around the pancreas.
kjg-61-174f1.tif
Fig. 2.
(A) Abdominal CT showed fluid collection surrounded by enhanced wall, suggesting psuedocyst. (B) Endoscopic retrograde pancreatogra-phy showed pancreas duct leakage (white arrowhead) at the pancreas tail.
kjg-61-174f2.tif
Fig. 3.
(A) Abdominal CT showed the dilatation of transverse colon with fecal material inside. (B) Colonoscopy showed edematous and inflammatory change at the strictured portion of the splenic flexure.
kjg-61-174f3.tif
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