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Case Rep Gastroenterol. 2011 Jan;5(1):17-21. doi: 10.1159/000323734. Epub 2011 Jan 7.

Arterio-pancreatic syndrome.

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Department of General Surgery, Singapore General Hospital, Singapore, Republic of Singapore.


Acute pancreatitis is a single-organ disorder that has multi-organ sequelae. As a result, it can have varied presentations. Acute pancreatitis presenting as acute limb ischemia is rare. We present a patient with acute pancreatitis presenting with bilateral lower limb ischemia. The episode of acute pancreatitis resolved but the acute lower limb ischemia precipitated as the pancreatitis progressed, and necessitated bilateral above-knee amputations. We review the literature and discuss the pathogenesis of such a phenomenon.


Acute limb ischemia; Acute pancreatitis; Arterio-pancreatic syndrome

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