TITLE:
Acute pancreatitis revealing ulcerative colitis—A case report
AUTHORS:
Nora Bousfiha, Iliass Iliass Charif, Mohamed el Abkari, Adil Ibrahimi, Ihsane Mellouki
KEYWORDS:
Acute Pancreatitis; Ulcerative Colitis
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.4 No.1,
January
23,
2014
ABSTRACT: The
association of acute pancreatitis with ulcerative colitis [UC] has been
described in the literature. It is usually induced by drugs, but sometimes it
may be idiopathic. This association remains rare. We report the case of a
patient who was treated in our department. Medical observation: Mr. KA, a
60-year-old man, was admitted in our unit for management of acute epigastric.
The clinical examination at the admission was normal. After eliminating a
cardiac or surgical cause, the diagnosis of acute pancreatitis was made on the
basis of the presence of a serum lipase up to 5 times the normal level and pain
intensity. An abdominal scanner tomography was performed for the assessment
of the pancreatitis. It has shown a pancreatitis stage C associated with a
thick rectosigmoidien that was discovered incidentally. Symptomatology was
enriched 10 days after by the occurrence of rectal bleeding. A lower endoscopy
was performed after the improvement of the pancreatitis and had shown an
ulcerative colitis on pancolitis which was confirmed by biopsy. In order to
search other causes of this pancreatitis, other tests were made [a biliary IRM,
endoscopic ultrasonography, autoimmune tests] and the results were negative. We concluded an idiopathic pancreatitis. The
ulcerative colitis was classified as moderate and the patient was put on oral
corticosteroids with degression. The
evolution was marked by a clinical and biological improvement of pancreatitis and colitis. Conclusion: The association of idiopathic pancreatitis
with ulcerative colitis is rare. The case of our patient is the first case
reported in our series with 400 cases of ulcerative colitis diagnosed in our
service.