Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review
We report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screenin...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/4587371 |
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| author | Sahil D. Doshi Yelina Alvarez Shria Kumar Octavia Pickett-Blakely |
| author_facet | Sahil D. Doshi Yelina Alvarez Shria Kumar Octavia Pickett-Blakely |
| author_sort | Sahil D. Doshi |
| collection | DOAJ |
| description | We report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screening colonoscopy during this admission which was technically uncomplicated apart from requiring slight maneuvering at the splenic flexure. The following day, the patient developed acute epigastric pain and one episode of emesis. Subsequent laboratory evaluation revealed a significantly elevated lipase level and cross-sectional imaging consistent with acute pancreatitis. With no evidence of gallstones, alcohol use, and hypertriglyceridemia, the acute pancreatitis was deemed to be a complication of colonoscopy. The presumed mechanism of the pancreatitis was due to mechanical trauma from insufflation and abdominal pressure, applied to at the splenic flexure, which is in close proximity to the pancreatic tail. The patient was treated with supportive care (intravenous fluid, analgesia, and pancreatic rest) and improved significantly over a three-day period. |
| format | Article |
| id | doaj-art-df593b0f31cc4401984bcb58921b1ce8 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-df593b0f31cc4401984bcb58921b1ce82025-02-03T01:27:50ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/45873714587371Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature ReviewSahil D. Doshi0Yelina Alvarez1Shria Kumar2Octavia Pickett-Blakely3Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USADivision of Gastroenterology, Department of Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USADivision of Gastroenterology, Department of Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USADivision of Gastroenterology, Department of Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USAWe report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screening colonoscopy during this admission which was technically uncomplicated apart from requiring slight maneuvering at the splenic flexure. The following day, the patient developed acute epigastric pain and one episode of emesis. Subsequent laboratory evaluation revealed a significantly elevated lipase level and cross-sectional imaging consistent with acute pancreatitis. With no evidence of gallstones, alcohol use, and hypertriglyceridemia, the acute pancreatitis was deemed to be a complication of colonoscopy. The presumed mechanism of the pancreatitis was due to mechanical trauma from insufflation and abdominal pressure, applied to at the splenic flexure, which is in close proximity to the pancreatic tail. The patient was treated with supportive care (intravenous fluid, analgesia, and pancreatic rest) and improved significantly over a three-day period.http://dx.doi.org/10.1155/2019/4587371 |
| spellingShingle | Sahil D. Doshi Yelina Alvarez Shria Kumar Octavia Pickett-Blakely Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review Case Reports in Gastrointestinal Medicine |
| title | Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review |
| title_full | Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review |
| title_fullStr | Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review |
| title_full_unstemmed | Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review |
| title_short | Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review |
| title_sort | acute pancreatitis after colonoscopy a case presentation and literature review |
| url | http://dx.doi.org/10.1155/2019/4587371 |
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