Abstract
A 74-year-old man who had a medical history of ulcerative colitis, with a chief complaintof epigastric pain was admitted. He was diagnosed as acute pancreatitis based on the findingsof the laboratory data and computed tomography. Although the causes of pancreatitis wereunknown, his syrnptoms disappeared relatively early with treatment. However, following theinitial episQde, he relapsed acute pancreatitis three times with gradually developing diarrheaand, bloody stools. CQIonoscopy demonstrateded a relapse of u.lcerative colitis. So he wastreated with corticosteroids and mesalazine. His symptoms and the findings of the colonoscopywere improved with treatnlent and there were no further relapses of pancreatitis follQwing thetreatment of ulcerative colitis. Endoscopic retrograde cholangiopancrαltography demonstratedno abnorrnal filldings. In this case, the onset and the clinical course of pancreatitis is thouglhtto be closely associated with ulcerative colitis. We should recognize that pancreatitis may beone of the extra-intestin.al complications of ulcerative colitis.
