Korean J Gastroenterol.
2000 Apr;35(4):522-528.
Two Cases of Spontaneous Duodenal Fistula Complicating Recurrent Acute Pancreatitis
Abstract
- Intestinal pancreatic fistula complicating acute pancreatitis usually follows surgical intervention or drainage of a pseudocyst or abscess. Occasionally, spontaneous intestinal fistula may develop due to the rupture of a pancreatic pseudocyst or abscess into the adjacent viscera, or the gastrointestinal necrosis secondary to vascular thrombosis in peripancreatic inflammation. Here, we report two cases of spontaneous duodenal fistula complicated by pancreas divisum-associated acute pancreatitis. One case occurred due to spontaneous rupture of a pseudocyst into the duodenum and the other case occurred by periduodenal panniculitis secondary to ductal disruption.
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