[Pancreatic-portal fistula and subcutaneous fat necrosis].
The pancreaticoportal fistula is a very uncommon complication of pancreatic diseases, mostly occurring in the course of chronic pancreatitis. From 2 findings of pancreaticoportal fistula and a literature review, we emphasize in this study the frequency of subcutaneous fat necrosis during pancreaticoportal fistula, the pathogenic role of the pancreaticoportal fistula to induce a subcutaneous fat necrosis by means of a massive enzyme release in the systemic circulation, the protective role of portal thrombosis, and finally the diagnostic and therapeutic value of endoscopic retrograde cholangio-pancreatography in pancreaticoportal fistula.
Delcenserie
R
R
Service d'Hépato-Gastroentérologie, CHU Nord, Amiens.
Bental
A
A
Goll
A
A
Butel
J
J
Dupas
J L
JL
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D005218:Fat Necrosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000150:complications / Q000000981:diagnostic imaging; D010185:Pancreatic Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging; D011169:Portal Vein / Q000000981:diagnostic imaging*; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging
Fistule pancréatico-portale et cytostéatonécrose sous-cutanée.