Three cases of intestinal necrosis following severe pancreatitis

Abstract

Severe acute pancreatitis can cause various complications. Intestinal necrosis following severe acute pancreatitis is uncommon but fatal complication. We report three patients who developed intestinal necrosis. Case 1 : An 88-year-old man. Autopsy revealed broad necrosis of the small intestine. Case 2 : A 35-year-old man with hematochezia after one month of hospitalization. He was diagnosed as ischemic colitis by colonoscopy. Because conservative treatment did not improve the condition, left hemicolectomy was performed on the 20 th day after manifestation, which revealed broad necrosis of the left colon. Case 3 : A 66-year-old woman. Broad necrosis of the small intestine and pancreatic necrosis were confirmed at autopsy. Physicians should take utmost care of patients with severe acute pancreatitis who develop complications including those affecting gut.