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A patient with acute pancreatitis and unusual vermiform stools
  1. W L Hazen1,
  2. D P Hayes2,
  3. H J M Pullens1
  1. 1Department of Gastroenterology and Hepatology, Meander Medical Centre, Amersfoort, The Netherlands
  2. 2Department of Pathology, Meander Medical Centre, Amersfoort, The Netherlands
  1. Correspondence to Dr W L Hazen, Department of Gastroenterology and Hepatology, Meander Medical Centre, PO Box 1502, Amersfoort 3800 BM, The Netherlands; wouterhazen{at}hotmail.com

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Case

A 66-year-old woman was admitted with severe pancreatitis of unknown aetiology. Medical history disclosed insulin-dependent diabetes. She was treated conservatively with fluid and electrolyte correction. The patient was haemodynamically stable throughout the disease course. On day 4 she developed a paralytic ileus. Parenteral nutrition was initiated. Gradually, the ileus resolved. Enteral feeding was resumed on day 13 via a nasojejunal feeding tube. Over the following days, the patient developed watery diarrhoea. PCR and cultures failed to demonstrate a microbial cause. Suddenly, at day 21, the patient excreted per …

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