Spontaneous jejunal perforation in the setting of acute pancreatitis

Abstract

Spontaneous jejunal perforation is uncommonly seen in the pediatric population. Many etiologies are implicated, including the rare instance of acute pancreatitis. The digestive pancreatic enzymes cause inflammation, ischemia and necrosis which may lead to small bowel perforation. Early diagnosis of the condition, as well as emergent medical and surgical management lead to a better patient outcome. We present a case of a 3 year old male patient with acute pancreatitis and small bowel perforation, requiring exploratory celiotomy, primary repair and subsequent medical management with complete recovery.