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Acute Pancreatitis: A Rare Post-Colonoscopy Sequela
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Sujit P. Nair, Prasanta Debnath, Suhas Udgirkar, Parmeshwar Junare, Sanjay Chandnani, Shubham Jain, Vinay B. Pawar, Pravin M. Rathi
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Clin Endosc 2020;53(5):611-614. Published online February 12, 2020
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DOI: https://doi.org/10.5946/ce.2019.151
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 Abstract
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- Abdominal pain is a common but benign symptom after colonoscopy. We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of the colonoscope due to tight angulation of the splenic flexure, a structure that is in close proximity to the pancreatic tail. Acute pancreatitis should be considered in the differential diagnosis of patients who present with abdominal pain after colonoscopy once more common etiologies have been excluded.
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Citations
Citations to this article as recorded by  - Aggravated pancreatitis after performing a colonoscopy
Han‐Lin Liao, Tyng‐Yuan Jang
Advances in Digestive Medicine.2024; 11(4): 232. CrossRef - Acute Pancreatitis: A Rare Complication of Colonoscopy
Saima H Shawl, Usama Bilal, Chandra Essar Mal, Veera Durga Vaishnavi Kurra, Romil Singh
Cureus.2022;[Epub] CrossRef - CT imaging findings of complications of optical colonoscopy
Abhishek Keraliya, Hei Shun Yu, Jennifer W. Uyeda
Emergency Radiology.2022; 29(5): 915. CrossRef
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