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Stocker, W., Otte, M., Ulrich, S., Normann, D., Finkbeiner, H., Stokker, K., Jantschek, G. and Scriba, P.C. (1987) Autoimmunity to pancreatic juice in Crohn’s disease. Results of an autoantibody screening in patients with chronic inflammatory bowel disease. Scandinavian Journal of Gastroenterology, 139, 41-52. http://dx.doi.org/10.3109/00365528709089774

has been cited by the following article:

• 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.