A Case of Pancreaticoportal Fistula Associated with Acute Severe Pancreatitis.
- Author:
Young Sun YEO
1
;
Myung Hwan KIM
;
Mi Hyun YU
;
Young Ju JUNG
;
Soon Joo KIM
;
Jae Ho BYUN
Author Information
1. Departments of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Pancreatic fistula;
Acute pancreatitis
- MeSH:
Acute Disease;
Adult;
Cholangiopancreatography, Endoscopic Retrograde;
English Abstract;
Humans;
Male;
Pancreatic Fistula/diagnosis/*etiology;
Pancreatitis/*complications;
*Portal Vein;
Vascular Fistula/diagnosis/*etiology
- From:The Korean Journal of Gastroenterology
2005;46(6):485-488
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic fistulas are usually caused by the disruption of pancreatic duct. The majority of pancreatic fistulas are external fistulas and common causes of external and internal pancreatic fistulas are trauma and surgery. Internal pancreatic fistulas due to pancreatitis are rare. Internal pancreatic fistulas may communicate with peritoneal cavity, colon, small bowel, biliary system or pleural cavity. Among them, fistula between pancreatic duct and portal vein due to acute pancreatitis is rare. We report a case of 32-year-old male with fistula between pancreatic duct and portal vein as a complication of acute pancreatitis. Pancreaticoportal fistula was diagnosed by endoscopic retrograde cholangiopancreatography. He recovered after distal pancreatectomy with splenectomy and supportive care.
