Pancreatitis aguda desencadenante de obstrucción intestinal

Abstract

A 47 year old male patient with a past medical history of imperforate anus, is admitted at the Emergency Department due to intestinal obstruction and acute pancreatitis. He underwent surgery 5 times for persistent intestinal obstruction, adhesiolysis was performed, intraabdominal abscess drainage and finally colostomy. Surgical findings included multiple adhesions between small bowel loops which along with systemic inflammation due to acute pancreatitis produced intestinal obstruction. The patient had a complicated course worsened by systemic inflammation due to acute pancreatitis, persistent sepsis, prolonged ileus and disseminated intravascular coagulation. After his last surgery, drainage of an intraabdominal collection and adhesiolysis, and critical care, systemic inflammation subsided and his bowel recovered functionality. Currently, he is stable, has a functioning colostomy mixed nutritional support, waiting for intestinal  reconstruction.