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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 27
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
A
cute and chronic pancreatitis post scoliosis correction
surgeries have been reported before as a rare complication.
Many hypothesis were suggested before, one of themproposed
direct trauma, other included waves generated by the high
speed drilling. Re-alignment of the spine after the surgery was
also hypothesized. In all the cases reported before there was an
element suggesting those hypotheses. In this case, there was
no evidence that the pancreatitis is caused by the spinal surgery
at all. Fourteen year old girl admitted for elective scoliosis
surgery for cerebral palsy was post operatively unwell, with
rising C-reactive protein (CRP) and an increasingly distended
abdomen. CT of the abdomen was performed and showed
some free fluid but no free gas. Diagnostic laparoscopy was
performed due to the failure of conservative management. This
showed extensive inflammation of the right side of the colon,
adherent to the bowel and that led to laparotomy and extended
right hemicolectomy and ileostomy formation. Pathology
samples sent in which showed manifestations of pancreatitis.
The histology macroscopy report of the biopsy samples
showed congested and oedematous serosa with adhesions
and patchy fibrinopurulent exudate extending along almost the
entire length of the specimen (right hemicolectomy). Imaging
reviewed and revealed that the pancreas and transverse
colon is a long way away from the spine or trajectory of the
screws. Spinal fusion for severe neuromuscular scoliosis is a
difficult procedure, with a high rate of complications. Among
them, pancreatitis should be considered when abdominal
pain persists in the postoperative period. Early diagnosis and
management would always improve the outcome in such
cases.
Biography
Barbara Dolaszynska is an Ophthalmology trainee in North East of England.
She has got special interest in medical and surgical education in which she
presented several projects before in those topics. Dr Eltayeb is a surgical
trainee in Newcastle Upon Tyne with interest in neurosciences and surgical
education.
bdolaszynska@yahoo.comComplicated pancreatitis: a rare complication following
scoliosis surgery
Barbara Dolaszynska
1
and
Mohamed Eltayeb
2
1
Newcastle University, UK
2
Newcastle Upon Tyne Hospitals NHS Trust, UK
Barbara Dolaszynska, Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-002