We report a patient with alcohol-induced necrotizing pancreatitis who
developed a severe ileus followed by incarceration of a portion of the
transverse colon within a ventral hernia, Laparotomy 9 days after the
onset of symptoms revealed infarction of the transverse colon and inf
ection of the pancreas, This is the first report of a case of acute pa
ncreatitis that led to a strangulated ventral hernia of the colon, We
believe that the enteric organisms that infected the pancreas originat
ed in the incarcerated transverse colon.