CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(04): 237-239
DOI: 10.1055/s-0039-3401392
Case Report

Spontaneous Rupture of Infected Walled-Off Necrosis in the Transverse Colon with a Nonoperative Favorable Outcome: A Rare Event

Virender Chauhan
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Gaurav Kumar Gupta
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Vasudha Goel
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Dilip Singh Mudgal
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Mukesh Jain
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Sandeep Nijhawan
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
› Author Affiliations

Abstract

Infected walled-off necrosis (WON) is a well-known complication of acute necrotizing pancreatitis, with higher mortality and morbidity. An infected or symptomatic WON requires drainage. Occasionally, WON may spontaneously fistulize into the gastrointestinal lumen or may rupture into the peritoneum. We describe a case of spontaneous rupture of WON in the transverse colon with uncomplicated spontaneous resolution, which is an extremely rare event.



Publication History

Article published online:
04 May 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Banks PA, Bollen TL, Dervenis C. et al. Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis–2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013; 62 (01) 102-111
  • 2 Papadimitriou N, Robotis J, Rokkas T. Spontaneous intra-gastric walled-off pancreatic necrosis rupture. JOP 2014; 15 (06) 628-629
  • 3 Boopathy V, Balasubramanian P, Alexander T, Koshy R. Spontaneous fistulisation of infected walled-off necrosis (WON) into the duodenum in a patient following acute necrotising pancreatitis. BMJ Case Rep 2014; 2014: 202863
  • 4 Ran SS, Sharma V, Prasad KR. et al. Spontaneous intra-gastric rupture of walled-off pancreatic necrosis: endoscopic ultrasound features. J Dig Endosc 2016; 7: 160-162
  • 5 Werge M, Novovic S, Schmidt PN, Gluud LL. Infection increases mortality in necrotizing pancreatitis: A systematic review and meta-analysis. Pancreatology 2016; 16 (05) 698-707
  • 6 Mohamed SR, Siriwardena AK. Understanding the colonic complications of pancreatitis. Pancreatology 2008; 8 (02) 153-158
  • 7 Clements Jr JL, Bradley III EL, Eaton Jr SB. Spontaneous internal drainage of pancreatic pseudocysts. AJR Am J Roentgenol 1976; 126 (05) 985-991
  • 8 Uiterwaal MT, Overbosch EH, Bruno MJ, van der Hulst RW. Spontaneous drainage of a pancreatic pseudocyst after embolization of a bleeding pseudoaneurysm. Cardiovasc Intervent Radiol 2009; 32 (01) 192-194
  • 9 Mir MF, Shaheen F, Gojwari TA, Singh M, Nazir P, Ahmad S. Uncomplicated spontaneous rupture of the pancreatic pseudocyst into the gut–CT documentation: a series of two cases. Saudi J Gastroenterol 2009; 15 (02) 135-136
  • 10 Doberneck RC. Intestinal fistula complicating necrotizing pancreatitis. Am J Surg 1989; 158 (06) 581-583, discussion 583–584