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Intestinal Effects of Pancreatitis: Spread along Mesenteric Planes

  • Morton A. Meyers

Abstract

Acute inflammation of the pancreas may be classified into four groups:
  1. 1.

    Acute edematous pancreatitis is the most common form; there is localized or diffuse swelling of the organ.

     
  2. 2.

    Acute hemorrhagic pancreatitis is caused by the digestive effects of liberated trypsin and elastinase on pancreatic vessels. The first changes caused by this vascular necrosis are found in the outer layer but the damage usually progresses rapidly to involve the entire thickness of the vessel wall, with disruption of the intima (16).

     
  3. 3.

    Acute gangrenous pancreatitis is rare because of the rich vascularization of the pancreas.

     
  4. 4.

    Acute suppurative pancreatitis secondary to superimposed infection may range from a localized pancreatic abscess to diffuse involvement, perhaps as a gas-producing process.

     

Keywords

Acute Pancreatitis Splenic Flexure Hepatic Flexure Transverse Mesocolon Small Bowel Mesentery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Aronson AR, Davis DA: Obstruction near hepatic flexure in pancreatitis: Rarely reported sign. JAMA 176:133–134, 1961CrossRefGoogle Scholar
  2. 2.
    Boijsen E, Tylen U: Vascular changes in chronic pancreatitis. Acta Radiol Diagn 12:34–48, 1972Google Scholar
  3. 3.
    Brascho DJ, Reynolds TN, Zanca P: Radiographic “colon cut-off sign” in acute pancreatitis. Radiology 79:763–768, 1962PubMedGoogle Scholar
  4. 4.
    Forlini E: Stenosi del colon da pancreatitis. Gior Clin Med 8:609–620, 1927Google Scholar
  5. 5.
    Glenn JC, Jr, Baylin GJ: Roentgen findings in acute pancreatitis. Am J Roentgenol Rad Ther 57:604–615, 1947Google Scholar
  6. 6.
    Griffiths RW, Brown PW, Jr: Jejunal infarction as a complication of pancreatitis. Gastroenterology 58:709–712, 1970PubMedGoogle Scholar
  7. 7.
    Harris RD, Anderson JE, Coel MN: Aneurysms of the small pancreatic arteries: A cause of upper abdominal pain and intestinal bleeding. Radiology 115:17–20, 1975PubMedGoogle Scholar
  8. 8.
    Meyers MA: Roentgen significance of the phrenicocolic ligament. Radiology 95:539–545, 1970PubMedGoogle Scholar
  9. 9.
    Meyers MA, Evans JA: Effects of pancreatitis on the small bowel and colon: Spread along mesenteric planes. Am J Roentgenol 119:151–165, 1973CrossRefGoogle Scholar
  10. 10.
    Meyers MA, Whalen JP: Roentgen significance of duodenocolic relationships: Anatomic approach. Am J Roentgenol Rad Ther Nucl Med 117:263–274, 1973CrossRefGoogle Scholar
  11. 11.
    Meyers MA, Volberg F, Katzen B et al: Haustral anatomy and pathology: A new look. II. Roentgen interpretation of pathologic alterations. Radiology 108:505–512, 1973PubMedGoogle Scholar
  12. 12.
    Mohuiddin S, Sakiyalak P, Gullick HD, et al: Stenosing lesions of the colon secondary to pancreatitis. Arch Surg 102:229–231, 1971CrossRefGoogle Scholar
  13. 13.
    Poppel MH: Some migratory aspects of inflammatory collections of pancreatic origin. Radiology 72:323–329, 1959PubMedGoogle Scholar
  14. 14.
    Price CWR: “Colon cut-off sign” in acute pancreatitis. Med J Australia 1:313–314, 1956Google Scholar
  15. 15.
    Remington JH, Mayo CW, Dockerty MB: Stenosis of colon secondary to chronic pancreatitis. Proc Staff Meet Mayo Clin 22:260–264, 1947PubMedGoogle Scholar
  16. 16.
    Rich AR, Duff Gl: Experimental and pathologic studies on pathogenesis of acute hemorrhagic pancreatitis. Bull Johns Hopkins Hosp 58:212–259, 1936Google Scholar
  17. 17.
    Sahebjami H, Gillespie L, Ferris PJ, et al: Rectal bleeding as presenting symptoms of acute pancreatitis. Am J Gastroenterol 54:388–394, 1970PubMedGoogle Scholar
  18. 18.
    Salvo AF, Nematolahi H: Distant dissection of a pancreatic pseudocyst into the right groin. Am J Surg 126:430–432, 1973PubMedCrossRefGoogle Scholar
  19. 19.
    Schecter LM, Gordon HE, Passaro E, Jr: Massive hemorrhage from the celiac axis in pancreatitis. Am J Surg 128:301–305, 1974PubMedCrossRefGoogle Scholar
  20. 20.
    Schwartz S, Nadelhaft J: Simulation of colonic obstruction at splenic flexure by pancreatitis: Roentgen features. Am J Roentgenol Rad Ther Nucl Med 78:607–616, 1957Google Scholar
  21. 21.
    Simon M, Lerner MA: Duodenal compression by mesenteric root in acute pancreatitis and inflammatory conditions of bowel. Radiology 79:75–80, 1962PubMedGoogle Scholar
  22. 22.
    Stuart C: Acute pancreatitis: Preliminary investigation of new radio-diagnostic sign. J Fac Radiologists 8:50–58, 1956CrossRefGoogle Scholar
  23. 23.
    Waring HJ, Griffiths HE: Acute pancreatitis. Br J Surg 11:476–490, 1924CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1976

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Cornell University Medical CollegeNew YorkUSA

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