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Acute Pancreatitis: A Rare Post-Colonoscopy Sequela

Clinical Endoscopy 2020년 53권 5호 p.611 ~ 614
Nair Sujit P., Debnath Prasanta, Udgirkar Suhas, Junare Parmeshwar, Chandnani Sanjay, Jain Shubham, Pawar Vinay B., Rathi Pravin M.,
소속 상세정보
 ( Nair Sujit P. ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Debnath Prasanta ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Udgirkar Suhas ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Junare Parmeshwar ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Chandnani Sanjay ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Jain Shubham ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Pawar Vinay B. ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology
 ( Rathi Pravin M. ) - Topiwala National Medical College and B.Y.L Nair Charitable Hospital Department of Gastroenterology

Abstract


Abdominal pain is a common but benign symptom after colonoscopy. We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of the colonoscope due to tight angulation of the splenic flexure, a structure that is in close proximity to the pancreatic tail. Acute pancreatitis should be considered in the differential diagnosis of patients who present with abdominal pain after colonoscopy once more common etiologies have been excluded.

키워드

Pancreatitis; Post colonoscopy; Splenic flexure

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