Abstract
A 40-year-old man was admitted on our hospital complaining of abdominal pain. He was diagnosed to be acute pancreatitis and received conservative treatments, however, his clinical conditions got worse gradually. Necrotic pancreatitis with infection occurred. Furthermore, DIC, sepsis and ARDS had brought about. He underwent pancreatic necrosectomy with drainage on 7th day after admission. His condition improved and he recovered from DIC and ARDS, however, expansion of pancreatic inflammation had continued to around the pancreatic organs. Fluoroscopic study on 94 postoperative days demonstrated a fistula between transverse colon and peripancreatic abscess cavity. He underwent through three operations following his clinical course; such as, ileostomy, surgical hemostasis, adhesiotomy with ileostomic closure as well as transverse-descending colon anastomosis, although the fistula was residual. He was discharged on 261 days after first operation. He is doing well with comfortable activity of daily life.
