Two Cases of Colon Stenosis after Pancreatitis

Kenji Takahashi and Eiji Kashihara

Department of Surgery, Kitagawa Hospital

We report two cases of colon stenosis after pancreatitis. #Patient#1, a 42-year-old man, had undergone surgery 6 years earlier for acute pancreatitis. Upon admission, he complained of abdominal pain and fever. An abdominal CT examination revealed the presence of exudates around his pancreas, and a barium enema showed the stenosis of his descending colon. Conservative therapy reduced his symptoms and improved the colonic stricture. #Patient#2, a 62-year-old man, had undergone conservative treatment 1 year and 8 months earlier for acute pancreatitis. He presented with abdominal fullness 10 days prior to admission and was hospitalized with acute severe abdominal pain. A plain chest-abdominal film showed an abundance of free-air. A laparotomy revealed the stenosis of his descending colon as a result of pancreatitis and a perforation of his transverse colon. We performed a colostomy with his perforated transverse colon. However, the stricture of his colon had not improved 3 months after the operation, so an ileo-sigmoidostomy was performed.

Key words
colon stenosis, colon perforation, pancreatitis

Reprint requests
Kenji Takahashi Department of Surgery, Kusumoto Hospital
3-19-18 Akebono-cho, Fukuyama, 721-0952 JAPAN

Accepted
September 24, 2003

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