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An unusual case of pancreatic fistula
We report an unusual case of a pancreatic fistula communicating with an appendicectomy wound. This occurred following an episode of acute haemorrhagic pancreatitis. The patient was initially admitted with signs and symptoms indicating appendicitis and went to theatre for an open appendicectomy. Howe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635130/ https://www.ncbi.nlm.nih.gov/pubmed/24964425 http://dx.doi.org/10.1093/jscr/rjt014 |
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author | Johnston, M.J. Prew, C.L. Fraser, I. |
author_facet | Johnston, M.J. Prew, C.L. Fraser, I. |
author_sort | Johnston, M.J. |
collection | PubMed |
description | We report an unusual case of a pancreatic fistula communicating with an appendicectomy wound. This occurred following an episode of acute haemorrhagic pancreatitis. The patient was initially admitted with signs and symptoms indicating appendicitis and went to theatre for an open appendicectomy. However, this did not resolve his symptoms and a laparotomy was performed the next day revealing haemorrhagic pancreatitis. He endured a stormy post-operative course, the cause of which was found to be an external pancreatic fistula with discharge of amylase-rich fluid from the Lanz incision. A trial of conservative management failed despite multiple percutaneous drainage procedures and treatment with broad-spectrum antibiotics. After a second opinion was sought, it was decided to fit a roux loop anastomosis between the head of the pancreas and the duodenum to divert the fistulous fluid. This procedure was a success and the patient remains well 2 years later. |
format | Online Article Text |
id | pubmed-3635130 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-36351302013-04-25 An unusual case of pancreatic fistula Johnston, M.J. Prew, C.L. Fraser, I. J Surg Case Rep Case Reports We report an unusual case of a pancreatic fistula communicating with an appendicectomy wound. This occurred following an episode of acute haemorrhagic pancreatitis. The patient was initially admitted with signs and symptoms indicating appendicitis and went to theatre for an open appendicectomy. However, this did not resolve his symptoms and a laparotomy was performed the next day revealing haemorrhagic pancreatitis. He endured a stormy post-operative course, the cause of which was found to be an external pancreatic fistula with discharge of amylase-rich fluid from the Lanz incision. A trial of conservative management failed despite multiple percutaneous drainage procedures and treatment with broad-spectrum antibiotics. After a second opinion was sought, it was decided to fit a roux loop anastomosis between the head of the pancreas and the duodenum to divert the fistulous fluid. This procedure was a success and the patient remains well 2 years later. Oxford University Press 2013-03 2013-03-21 /pmc/articles/PMC3635130/ /pubmed/24964425 http://dx.doi.org/10.1093/jscr/rjt014 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. |
spellingShingle | Case Reports Johnston, M.J. Prew, C.L. Fraser, I. An unusual case of pancreatic fistula |
title | An unusual case of pancreatic fistula |
title_full | An unusual case of pancreatic fistula |
title_fullStr | An unusual case of pancreatic fistula |
title_full_unstemmed | An unusual case of pancreatic fistula |
title_short | An unusual case of pancreatic fistula |
title_sort | unusual case of pancreatic fistula |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635130/ https://www.ncbi.nlm.nih.gov/pubmed/24964425 http://dx.doi.org/10.1093/jscr/rjt014 |
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