{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T20:12:26Z","timestamp":1772136746613,"version":"3.50.1"},"reference-count":29,"publisher":"ALUNA","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,15]]},"abstract":"<jats:p>Acute pancreatitis (AP) in children is a rare but severe inflammatory disease of the pancreas. Unlike in adults, where alcohol consumption and gallstones are the most common causes, pediatric AP results from various factors such as abdominal trauma, infections, biliary tract disease, systemic disorders, genetic predisposition, and drug-induced injury, with many cases remaining idiopathic. Adolescent idiopathic scoliosis (AIS) is the most common form of pediatric scoliosis. Treatment options include physical therapy, bracing, and surgical correction in severe cases. A case of an adolescent patient with AIS who developed severe (AP) after scoliosis surgery was analyzed, alongside a review of the relevant literature. We report the case of a 14-year-old male with severe AIS and additional risk factors, including malnutrition and hypertension, who underwent transpedicular stabilization and spondylodesis from Th2 to L4. In the early postoperative period, he developed severe (AP) as a rare but serious complication. Conservative treatment involved withdrawal of oral feeding, initiation of parenteral nutrition, and subsequent transition to enteral feeding. Multidisciplinary management addressed associated liver abnormalities, gastrointestinal ulcerations, neurological findings, and persistent hypertension, leading to gradual clinical recovery.We present the case of an adolescent patient with (AIS) who developed severe (AP) as a complication of surgery. In addition, a review of the relevant literature is presented and discussed, demonstrating that multiple perioperative abnormalities associated with scoliosis surgery may represent significant risk factors for the development of AP and contribute to the occurrence of this complication.<\/jats:p>","DOI":"10.36740\/merkur202601112","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:40:31Z","timestamp":1772134831000},"page":"78","source":"Crossref","is-referenced-by-count":0,"title":["Acute pancreatitis as a severe complication of scoliosis surgery in pediatric patient: a case report and literature review"],"prefix":"10.36740","volume":"54","author":[{"given":"Andrzej","family":"W\u0119drychowicz","sequence":"first","affiliation":[{"name":"DEPARTMENT OF PEDIATRICS, GASTROENTEROLOGY AND NUTRITION, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamil","family":"Mo\u017cd\u017ce\u0144","sequence":"additional","affiliation":[{"name":"STUDENT\u2019S SCIENTIFIC SOCIETY, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad","family":"Kaleta","sequence":"additional","affiliation":[{"name":"STUDENT\u2019S SCIENTIFIC SOCIETY, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilia","family":"Lis","sequence":"additional","affiliation":[{"name":"STUDENT\u2019S SCIENTIFIC SOCIETY, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"B\u0142a\u017cejowski","sequence":"additional","affiliation":[{"name":"STUDENT\u2019S SCIENTIFIC SOCIETY, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zygmunt Szymon","family":"Oleksik","sequence":"additional","affiliation":[{"name":"DEPARTMENT OF ORTHOPEDICS, UNIVERSITY CHILDREN\u2019S HOSPITAL, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinga","family":"Kowalska-Duplaga","sequence":"additional","affiliation":[{"name":"DEPARTMENT OF PEDIATRICS, GASTROENTEROLOGY AND NUTRITION, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"1. Mehta MS. Acute pancreatitis in children: risk factors, management, and outcomes. Curr Opin Pediatr. 2023;35(5):590-595. doi:10.1097\/MOP.0000000000001285","DOI":"10.1097\/MOP.0000000000001285"},{"key":"ref1","unstructured":"2. Wasilewska A, Cieszkowska M, Kowalska-Duplaga K, Wedrychowicz A, Fyderek K. Retrospective analysis of epidemiological and clinical aspects of acute pancreatitis in children]. Pol Merk Lek. 2014 Jun;36(216):382-5 (Polish)."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"3. Weinstein SL. The Natural History of Adolescent Idiopathic Scoliosis. J Pediatr Orthop. 2019 Jul;39(Issue 6, Suppl 1):S44-S46. doi: 10.1097\/BPO.0000000000001350.","DOI":"10.1097\/BPO.0000000000001350"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"4. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186\/s13013-017-0145-8.","DOI":"10.1186\/s13013-017-0145-8"},{"key":"ref4","unstructured":"5. Ku\u0142aga Z, Ro\u017cd\u017cy\u0144ska-\u015awi\u0105tkowska A, Palczewska I, Grajda A, Gurzkowska B, Napieralska E, Litwin M. Siatki centylowe wysoko\u015bci, masy cia\u0142a i wska\u017anika masy cia\u0142a dzieci i m\u0142odzie\u017cy w Polsce-wyniki badania OLAF [Percentile charts of height, body mass and body mass index in children and adolescents in Poland \u2013 results of the OLAF study. Stand Med Pediatr. 2010;7:690-700 (Polish)."},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"6. Reames DL, Smith JS, Fu KM, Polly DW Jr,et al. Scoliosis Research Society Morbidity and Mortality Committee. Complications in the surgical treatment of 19,360 cases of pediatric scoliosis: a review of the Scoliosis Research Society Morbidity and Mortality database. Spine (Phila Pa 1976). 2011 Aug 15;36(18):1484-91. doi: 10.1097\/BRS.0b013e3181f3a326.","DOI":"10.1097\/BRS.0b013e3181f3a326"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"7. Menger RP, Kalakoti P, Pugely AJ, Nanda A, Sin A. Adolescent idiopathic scoliosis: risk factors for complications and the effect of hospital volume on outcomes. Neurosurg Focus. 2017 Oct;43(4):E3. doi: 10.3171\/2017.6.FOCUS17300.","DOI":"10.3171\/2017.6.FOCUS17300"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"8. Jalanko T, Helenius I, Pakarinen M, Koivusalo A. Gastrointestinal Complications After Surgical Correction of Neuromuscular Scoliosis: A Retrospective Cohort Study. Scand J Surg. 2018;107(3):252-259. doi:10.1177\/1457496917748223","DOI":"10.1177\/1457496917748223"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"9. Feng F, Tan H, Li X, Qiao Y, Chen C, Lin Y, Li Z, Shen J. Incidence and Risk Factors of Acute Pancreatitis After Scoliosis Surgery: A Prospective Study. Spine (Phila Pa 1976). 2018 May 1;43(9):630-636. doi: 10.1097\/BRS.0000000000002389.","DOI":"10.1097\/BRS.0000000000002389"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"10. Laplaza FJ, Widmann RF, Fealy S, Moustafellos E, Illueca M, Burke SW, Boachie-Adjei O. Pancreatitis after surgery in adolescent idiopathic scoliosis: incidence and risk factors. J Pediatr Orthop. 2002 Jan-Feb;22(1):80-3. PMID: 11744859.","DOI":"10.1097\/01241398-200201000-00017"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"11. El Bouyousfi M, Leveque C, Miladi L, Irtan S, Hamza J, Oualha M. Acute pancreatitis following scoliosis surgery: description and clinical course in 14 adolescents. Eur Spine J. 2016 Oct;25(10):3316-3323. doi: 10.1007\/s00586-016-4595-0","DOI":"10.1007\/s00586-016-4595-0"},{"key":"ref11","unstructured":"12. Chung JW, Ryu SH, Jo JH, Park JY, Lee S, Park SW, Song SY, Chung JB. Clinical implications"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"13. Achouh PE, Madsen K, Miller CC 3rd, Estrera AL, Azizzadeh A, Dhareshwar J, Porat E, Safi HJ. Gastrointestinal complications after descending thoracic and thoracoabdominal aortic repairs: a 14-year experience. J Vasc Surg. 2006 Sep;44(3):442-6. doi: 10.1016\/j.jvs.2006.05.018.","DOI":"10.1016\/j.jvs.2006.05.018"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"14. Wu Z, Zong K, Zhou B, Yin K, Zhang A, Li M. Incidence and risk factors of postoperative acute pancreatitis after pancreaticoduodenectomy: a systematic review and meta-analysis. Front Surg. 2023 May 9;10:1150053. doi: 10.3389\/fsurg.2023.1150053.","DOI":"10.3389\/fsurg.2023.1150053"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"15. Reeve TS, Delbridge LW. Pancreatitis following parathyroid surgery. Ann Surg. 1982 Feb;195(2):158-62. doi: 10.1097\/00000658-198202000-00006.","DOI":"10.1097\/00000658-198202000-00006"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"16. Ghisi D, Ricci A, Giannone S, Greggi T, Bonarelli S. Acute pancreatitis after major spine surgery: a case report and literature review. Scoliosis Spinal Disord. 2018 Nov 8;13:24. doi: 10.1186\/s13013-018-0170-2. PMID: 30456306; PMCID: PMC6222983.","DOI":"10.1186\/s13013-018-0170-2"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"17. Iinuma Y, Hirayama Y, Nakaya K, Sugai Y, et al. Acute pancreatitis after gastro-jejunal tube placement in patient with severe scoliosis. J Pediat Surg Case Reports. 2021;69:101798. doi:10.1016\/j.epsc.2021.101798.","DOI":"10.1016\/j.epsc.2021.101798"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"18. Debi U, Kaur R, Prasad KK, Sinha SK, Sinha A, Singh K. Pancreatic trauma: a concise review. World J Gastroenterol. 2013 Dec 21;19(47):9003-11. doi: 10.3748\/wjg.v19.i47.9003.","DOI":"10.3748\/wjg.v19.i47.9003"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"19. Mao X, Mao S, Sun H, Huang F, Wang Y, Zhang D, Wang Q, Li Z, Zou W, Liao Z. Causal associations between modifiable risk factors and pancreatitis: A comprehensive Mendelian randomization study. Front Immunol. 2023 Mar 14;14:1091780. doi: 10.3389\/fimmu.2023.1091780.","DOI":"10.3389\/fimmu.2023.1091780"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"20. He Z, Tonb DJ, Dabney KW, Miller F, Shah SA, Brenn BR, Theroux MC, Mehta DI. Cytokine release, pancreatic injury, and risk of acute pancreatitis after spinal fusion surgery. Dig Dis Sci. 2004 Jan;49(1):143-9. doi: 10.1023\/b:ddas.0000011616.79909.3c.","DOI":"10.1023\/B:DDAS.0000011616.79909.3c"},{"key":"ref20","unstructured":"21. B\u0103l\u0103nescu NR, Topor L, Ulici A, Djendov FB. Acute pancreatitis secondary to hyperlipidemia in an 11-year-old girl: a case report and review of literature. J Med Life. 2013 Mar 15;6(1):2-6. Epub 2013 Mar 25. PMID: 23599811; PMCID: PMC3624641."},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"22. Aborashed-Amador NF, Motta-Amar AF, Vargas-Osorio MM. Acute pancreatitis associated with scoliosis surgery: Could opioids be a determinant factor in its development? Indian J Case Reports. 2022;8(12):376-378 DOI: 10.32677\/ijcr.v8i12.3694","DOI":"10.32677\/ijcr.v8i12.3694"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"23. Pandanaboyana S, Knoph CS, Olesen SS, Jones M, et al. PAINAP Collaborative. Opioid analgesia and severity of acute pancreatitis: An international multicentre cohort study on pain management in acute pancreatitis. United European Gastroenterol J. 2024 Apr;12(3):326-338. doi: 10.1002\/ueg2.12542.","DOI":"10.1002\/ueg2.12542"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"24. Kim J, Tabner AJ, Johnson GD, Brumback BA, Hartzema A. Increased Risk of Acute Pancreatitis with Codeine Use in Patients with a History of Cholecystectomy. Dig Dis Sci. 2020 Jan;65(1):292-300. doi: 10.1007\/s10620-019-05803-3.","DOI":"10.1007\/s10620-019-05803-3"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"25. De la Garza Ramos R, Goodwin CR, Abu-Bonsrah N, Jain A, et al. Patient and operative factors associated with complications following adolescent idiopathic scoliosis surgery: an analysis of 36,335 patients from the Nationwide Inpatient Sample. J Neurosurg Pediatr. 2016 Dec;25(6):730-736. doi: 10.3171\/2016.6.PEDS16200.","DOI":"10.3171\/2016.6.PEDS16200"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"26. Jayasinghe R, Ranasinghe S, Kuruppu C, Jayarajah U, Seneviratne S. Clinical characteristics and outcomes of acute pancreatitis following spinal surgery: a systematic review. J Int Med Res. 2022 Sep;50(9):3000605221121950. doi: 10.1177\/03000605221121950.","DOI":"10.1177\/03000605221121950"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"27. Morinville VD, Husain SZ, Bai H, Barth Bet al; INSPPIRE Group. Definitions of pediatric pancreatitis and survey of present clinical practices. J Pediatr Gastroenterol Nutr. 2012 Sep;55(3):261-5. doi: 10.1097\/MPG.0b013e31824f1516. Erratum in: J Pediatr Gastroenterol Nutr. 2013 Apr;56(4):459. Abu-Al-Haija, Maisam [corrected to Abu-El-Haija, Maisam]. PMID: 22357117; PMCID: PMC3626452.","DOI":"10.1097\/MPG.0b013e31824f1516"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"28. Hewavitharane C, Jayathilaka S. A rare case of pancreatitis following scoliosis correction. Sri Lankan J Anaesthesiol. 2020; 28. 45. 10.4038\/slja.v28i1.8476.","DOI":"10.4038\/slja.v28i1.8476"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"29. Ruparelia J, Singh Gosal J, Kumari K. Acute Postoperative Pancreatitis after Craniotomy for Excision of Insular Glioma: A Classic Case of Whodunit. J Pediat Neurosci 2022; 17(4):p 362-366. doi: 10.4103\/jpn.JPN_31_21.","DOI":"10.4103\/jpn.JPN_31_21"}],"container-title":["Polski Merkuriusz Lekarski"],"original-title":[],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:40:35Z","timestamp":1772134835000},"score":1,"resource":{"primary":{"URL":"https:\/\/polskimerkuriuszlekarski.pl\/wp-content\/uploads\/library\/PolMerkurLek20026i1net.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,15]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2,15]]},"published-print":{"date-parts":[[2026,2,15]]}},"URL":"https:\/\/doi.org\/10.36740\/merkur202601112","relation":{},"ISSN":["1426-9686"],"issn-type":[{"value":"1426-9686","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,15]]}}}