Pancreatic choledochal fistula complicating acute pancreatitis

BACKGROUND: Biliary tract involvement in acute necrotizing pancreatitis is rare. CASE REPORT: We report a case of a 53-year-old man who had a pancreatic choledochal fistula complicating acute necrotizing pancreatitis. The fistula was suspected at computed tomography and confirmed at surgery. The pat...

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Detalles Bibliográficos
Autores principales: Brar, Rahat, Singh, Iqbal, Brar, Preetinder, Prasad, Abhishek, Doley, Rudra Prasad, Wig, Jai Dev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616175/
https://www.ncbi.nlm.nih.gov/pubmed/23569486
http://dx.doi.org/10.12659/AJCR.882600
Descripción
Sumario:BACKGROUND: Biliary tract involvement in acute necrotizing pancreatitis is rare. CASE REPORT: We report a case of a 53-year-old man who had a pancreatic choledochal fistula complicating acute necrotizing pancreatitis. The fistula was suspected at computed tomography and confirmed at surgery. The patient underwent necrosectomy, cholecystectomy and proximal biliary diversion. He is well at 1-year follow-up. CONCLUSIONS: Simultaneous presence of air in the biliary tree and pancreatic collection is highly suggestive of a pancreaticobiliary fistula. Pancreatic necrosectomy and proximal biliary diversion resulted in closure of the fistula.

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