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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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Footnotes

  • Contributors WLH and HJMP are responsible for the concept of the article. WLH and HJMP performed the literature search and wrote the article draft. DPH provided the histological images and descriptions of the images. All authors critically revised the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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