Cobos GE, Valdespino CVE, Romero AE, Domínguez PE, Castañeda OEM, Varela GG

Language: Spanish
References: 14
Page: 152-155
PDF size: 80.18 Kb.

ABSTRACT

Introduction:One lethal complication of acute pancreatitis is perforation of hollow viscus, the most frequent of which are colon, stomach, and duodenum. This complication occurs most frequently after necrosectomy.
Objective:The purpose of this work is to describe a case of a patient with acute pancreatitis and bowel perforation.
Setting:Third level health care hospital.
Case report:We describe the case of a 57 year-old woman who was admitted for acute pancreatitis and complicated with jejunal perforation, internal fistula, and high bowel obstruction (without prior necrosectomy), that required surgical treatment through primary closure of the perforation.
Discussion:The effect of the enzymes in the pancreatic collections, as well as the state of hypoperfusion associated to severe pancreatitis may explain intestinal perforations in this pathology. Common management of this complication is with digestive tract diversion, as long as the anatomical location of the perforation allows it.
Conclusion:Jejunal perforations in acute pancreatitis, without prior necrosectomy, are infrequent events, and diagnosis demands a high index of suspicion.

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