A Case of Pancreatic Duct-Portal Vein Fistulae in Pancreatic Cancer.
- Author:
Hyun Jeong KIM
1
;
Young Koog CHEON
;
Jong Ho MOON
;
Young Duck CHO
;
June Seong LEE
;
Moon Sung LEE
;
Chan Sup SHIM
Author Information
1. Institute for Digestive Research, Department of Internal medicine, Soon Chun Hyang University, College of Medicine, Seoul, Korea. schidr@hosp.sch.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatic duct-portal vein fistulae;
Pancreatic cancer
- MeSH:
Abscess;
Cholangiopancreatography, Endoscopic Retrograde;
Fistula*;
Humans;
Pancreatic Diseases;
Pancreatic Ducts;
Pancreatic Fistula;
Pancreatic Neoplasms*;
Portal Vein;
United Nations;
Veins*;
Viscera
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(2):130-133
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic fistulae follows pancreatic duct disruption and may develop as a complication of pancreatic disease or injury. The escaping fluid may be walled off by the surrounding viscera to form a pseudocyst or an abscess. Fistulae may drain spontaneously into adjacent hollow viscera or communicate with the body surface externally. Although internal pancreatic fistulas that communicate with adjacent internal organs are much less common, vascular communication with the pancreatic ductal system is especially unusual and generally represents a serious clinical situation. We experienced one case of pancreatic duct-portal vein fistula in a patient with pancreatic cancer. Endoscopic retrograde cholangiopancreatography revealed a large vascular structure representing the portal vein filled at the time of the contrast injection, indicating the presence of a pancreatic duct-portal vein fistulae.
