A Case Report of Fatal Colonic Perforation Due a Necrotizing Pancreatitis
Tijani Nissrine *
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
El bakuri Abdelilah
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Ettaoussi Abdelhak
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Majd Abdessamad
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Kamal Khadija
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Bouali Mounir
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
El Hattabi Khalid
Departement of General Surgery, Visceral Emergency Service, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Severe acute pancreatitis can lead to rare but potentially fatal complications, including colonic perforation. We report the case of a 38-year-old patient, with no previous medical history, admitted for colonic perforation following severe acute pancreatitis of gallstone origin, whose progression was marked by hemodynamic instability and, subsequent, intraoperative death.
This serious complication (Werge et al., 2016) remains rare but should be considered in the face of a sudden deterioration in the clinical condition of a patient with necrotizing pancreatitis. Parietal ischemia secondary to local inflammation, vascular compression, and enzymatic necrosis phenomena may explain this perforation. Close monitoring and repeated imaging are essential for early diagnosis and appropriate surgical management.
Keywords: Acute pancreatitis, colonic perforation, digestive complication, pancreatic necrosis, emergency surgery