ES Journal of Case Reports

ISSN: 2767-6560

Chronic Pancreatitis-Induced Colonic Obstruction Mimicking a Stenosing Neoplasm at the Proximal Descending Colon: Treatment by Diverting Colostomy and Serial Pancreatic Duct Stenting

Case Report
Ying Lun Wei, M.D and Kevin A. Wang*
Division of General Surgery, Department of Surgery, Shin-Kong Memorial Hospital, Taipei, Taiwan
*Corresponding author: Kevin A. Wang, M.D. Division of General Surgery, Department of Surgery, Shin-Kong Memorial Hospital, Taipei, Address: No.95, Wenchang Rd., Shilin Dist., Taipei City 11101, Taiwan (R.O.C.)
Received: July 06, 2020;Accepted: July 18, 2020; Published: July 21, 2020;

Abstract

Large bowel obstruction mimicking colon cancer is a rare complication of acute or chronic pancreatitis. We present a case of a 42-year-old male patient with chronic alcoholic pancreatitis presenting with abdominal distension for two months. Computed tomography showed an obstructive mass-like stricture at the proximal descending colon. A diverting transverse colostomy was done followed by serial pancreatic duct stenting. The colonic stricture resolved after six months of treatment.

Keywords

Pancreatitis, Pancreatic pseudocyst, Colon obstruction, Colostomy, Pancreatic duct stenting