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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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
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author Brar, Rahat
Singh, Iqbal
Brar, Preetinder
Prasad, Abhishek
Doley, Rudra Prasad
Wig, Jai Dev
author_facet Brar, Rahat
Singh, Iqbal
Brar, Preetinder
Prasad, Abhishek
Doley, Rudra Prasad
Wig, Jai Dev
author_sort Brar, Rahat
collection PubMed
description 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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spelling pubmed-36161752013-04-08 Pancreatic choledochal fistula complicating acute pancreatitis Brar, Rahat Singh, Iqbal Brar, Preetinder Prasad, Abhishek Doley, Rudra Prasad Wig, Jai Dev Am J Case Rep Case Report 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. International Scientific Literature, Inc. 2012-03-20 /pmc/articles/PMC3616175/ /pubmed/23569486 http://dx.doi.org/10.12659/AJCR.882600 Text en © Am J Case Rep, 2012 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
spellingShingle Case Report
Brar, Rahat
Singh, Iqbal
Brar, Preetinder
Prasad, Abhishek
Doley, Rudra Prasad
Wig, Jai Dev
Pancreatic choledochal fistula complicating acute pancreatitis
title Pancreatic choledochal fistula complicating acute pancreatitis
title_full Pancreatic choledochal fistula complicating acute pancreatitis
title_fullStr Pancreatic choledochal fistula complicating acute pancreatitis
title_full_unstemmed Pancreatic choledochal fistula complicating acute pancreatitis
title_short Pancreatic choledochal fistula complicating acute pancreatitis
title_sort pancreatic choledochal fistula complicating acute pancreatitis
topic Case Report
url 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
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AT prasadabhishek pancreaticcholedochalfistulacomplicatingacutepancreatitis
AT doleyrudraprasad pancreaticcholedochalfistulacomplicatingacutepancreatitis
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