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Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis

Pancreaticopericardial fistula is an extremely rare complication of chronic pancreatitis and is virtually unheard of in the setting of acute pancreatitis. A 67-year-old male presented with acute pancreatitis complicated by pancreaticopericardial fistulization. The patient's initial presentation...

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Autores principales: Parekh, Parth J., Howerton, Douglas, Johnson, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435271/
https://www.ncbi.nlm.nih.gov/pubmed/26157817
http://dx.doi.org/10.14309/crj.2013.15
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author Parekh, Parth J.
Howerton, Douglas
Johnson, David A.
author_facet Parekh, Parth J.
Howerton, Douglas
Johnson, David A.
author_sort Parekh, Parth J.
collection PubMed
description Pancreaticopericardial fistula is an extremely rare complication of chronic pancreatitis and is virtually unheard of in the setting of acute pancreatitis. A 67-year-old male presented with acute pancreatitis complicated by pancreaticopericardial fistulization. The patient's initial presentation was consistent with tamponade physiology. Computed tomography demonstrated a gas-containing pericardial fluid llection extending into the anterior upper abdomen and ill-defined fluid collections within the pancreas representing necrosis with probable infection. Surgical exploration of the window revealed a pancreatic pericardial fistula and an infected window. The patient ultimately passed away from septic shock. We present this rare complication of pancreatitis and review the relevant literature.
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spelling pubmed-44352712015-07-08 Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis Parekh, Parth J. Howerton, Douglas Johnson, David A. ACG Case Rep J Case Report Pancreaticopericardial fistula is an extremely rare complication of chronic pancreatitis and is virtually unheard of in the setting of acute pancreatitis. A 67-year-old male presented with acute pancreatitis complicated by pancreaticopericardial fistulization. The patient's initial presentation was consistent with tamponade physiology. Computed tomography demonstrated a gas-containing pericardial fluid llection extending into the anterior upper abdomen and ill-defined fluid collections within the pancreas representing necrosis with probable infection. Surgical exploration of the window revealed a pancreatic pericardial fistula and an infected window. The patient ultimately passed away from septic shock. We present this rare complication of pancreatitis and review the relevant literature. American College of Gastroenterology 2013-10-08 /pmc/articles/PMC4435271/ /pubmed/26157817 http://dx.doi.org/10.14309/crj.2013.15 Text en Copyright © Parekh et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0
spellingShingle Case Report
Parekh, Parth J.
Howerton, Douglas
Johnson, David A.
Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title_full Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title_fullStr Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title_full_unstemmed Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title_short Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis
title_sort not your everyday case of acute pancreatitis: a rare complication of a common diagnosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435271/
https://www.ncbi.nlm.nih.gov/pubmed/26157817
http://dx.doi.org/10.14309/crj.2013.15
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