elderly patient we are seeing as we speak, complaining of ri | Figure 1
forderit
Emergency Medicine
elderly patient we are seeing as we speak, complaining of right sided chest/abdo pain after a fall, this is an interesting x-ray
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Image: The colonoscope revealed ulceration with a partial stricture at the descending colon approximately 30 cm from the anal verge (blue arrow and arrow head showing distal and proximal stricture, respectively).
Case Abstract:
We describe a young male with weight loss and abdominal pain. TB testing was negative, with radiography and ELISA (enzyme-linked immunosorbent assay) testing supporting a diagnosis of the CD. The patient was initiated on sulfasalazine but worsened over the next month. Further investigations revealed that the patient had descending colonic stricture without CD. Therefore, the stricture’s etiology was most likely related to an episode of acute pancreatitis the patient had 2 months before admission and was found to have left colonic segment adherent to the pancreas eventually requiring segmentectomy. Although the pathophysiology of colonic stricture after pancreatitis is unclear, we speculate that inflammatory injury to the colon is an important component. Finally, we emphasize that colonic stricture is a rare complication of pancreatitis.