J Trauma Inj.  2020 Mar;33(1):43-47. 10.20408/jti.2019.036.

The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy

• Huei TJ
• Chor Lip H
• Thou CS
• Mohamad Y
• Alwi RI

• KMID: 2501791
• DOI: http://doi.org/10.20408/jti.2019.036

Abstract

Pancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a blunt mechanism. He underwent emergency splenectomy for splenic injury and developed a pancreatic fistula as a complication. A percutaneous endoscopic procedure was performed to drain the fistula, after which he developed a pancreatogastric fistula as a further complication. A double-pigtail stent was inserted via gastroscopy into the fistula tract to allow internal drainage of the pancreatic collection into the stomach cavity. When a pancreatic fistula is complicated by gastric fistulation, endoscopic stenting of the pancreatogastric fistula tract for internal drainage is an effective treatment option.

Keyword

Pancreas; Splenectomy; Gastric; Fistula