[Disturbances of blood flow in the large bowel during acute pancreatitis]

Cases of vascular complications in the large bowel in acute pancreatitis are reported. In the light of own observations and a literature review the author classifies the complications into early (with in 3 days after onset of acute pancreatitis) and late (after more than 3 days). Depending on the mechanism of intestinal ischaemia the cases were divided into: 1) cases of thrombosis of great mesenteric vessels, 2) occlusion of mesenteric vessels caused by compression (inflammatory infiltration or abscess), 3) circulation disturbances in the intestinal wall. Despite the rarity of these complications they should be considered in the analysis of the course of acute pancreatitis, in the prognosis and in operation decisions.