An unusual case of colocutaneous fistula and colonic perforation due to acute pancreatitis

Acute pancreatitis has widely variable clinical and systemic manifestations, ranging from mild, a self limiting episode of epigastric pain to severe, life threatening multiorgan failure including sepsis, renal failure and multiorgan failure. Pancreatic necrosis is a diffuse or focal areas of nonviable pancreatic parenchyma, which is typically associated with peripancreatic fat necrosis. Colonic complications of severe pancreatitis occur very rarely. Although pancreatic complications such as pancreatic abscess, chronic pancreatitis occurs in many patients, but colonic complications due to pancreatitis was 1 percent.