Brar R, Singh I, Brar P, Prasad A, Doley RP, Wig JD. Pancreatic choledochal fistula complicating acute pancreatitis.
AMERICAN JOURNAL OF CASE REPORTS 2012;
13:47-50. [PMID:
23569486 PMCID:
PMC3616175 DOI:
10.12659/ajcr.882600]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2011] [Accepted: 02/27/2012] [Indexed: 12/17/2022]
Abstract
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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