Korean J Gastroenterol.  2005 Dec;46(6):485-488.

A Case of Pancreaticoportal Fistula Associated with Acute Severe Pancreatitis

Affiliations
  • 1Departments of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
  • 2Departments of Diagnostic Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

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.

Keyword

Pancreatic fistula; Acute pancreatitis

MeSH Terms

Acute Disease
Adult
Cholangiopancreatography, Endoscopic Retrograde
English Abstract
Humans
Male
Pancreatic Fistula/diagnosis/*etiology
Pancreatitis/*complications
*Portal Vein
Vascular Fistula/diagnosis/*etiology
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