Abstract
A 51 year old man was admitted to our hospital due to abdominal pain and hematochezia. Barium enema examination, colonoscopic examination and colonoscopic biopsy specimen were consistent with diagnosis of ulcerative colitis in the left colon and rectum. Blood chemistry showed increased levels of serum pancreatic enzymes. ERP demonstrated irregular narrowing of the main pancreatic duct with mild irregularity of the branches in the body of pancreas. After medication of salazosulfapyridine, the symptom disappeared soon and serum pancreatic enzymes decreased gradually to normal. One year after the admission, ulcerative colitis subsided and the findings of subsequent barium enema and ERP became almost normal. Concomittant changes of serum pancreatic enzymes, barium enema and ERP suggest that pancreatitis associated with ulcelative colitis is one of the complications of the latter disease.
