Abstract
A 48-year-old man presented to the emergency room with a chief complaint of severe abdominal pain after drinking alcohol. Based on laboratory and CT findings, we diagnosed severe acute pancreatitis. Three days after admission, abdominal compartment syndrome occurred, necessitating surgical decompression. Debridement of necrotic material and closure of the abdominal wall was undertaken 22 days postoperatively. One month after admission, upper gastrointestinal endoscopy was undertaken to investigate the cause of nausea and emesis, and revealed esophageal circumferential ulceration and mucosal necrosis. H2 blocker therapy resulted in an improvement of symptoms. He was hospitalized for a long period to control the abdominal abscess and was discharged 5 months after admission. Two months after discharge he presented complaining of dysphagia and upper gastrointestinal endoscopy showed esophageal stenosis 5 cm in length. Endoscopic balloon dilation was not effective, so resection of the middle-lower thoracic esophagus was performed. We report a very rare case of refractory esophageal ulcer and esophageal stenosis secondary to severe acute pancreatitis.
