title: [Pancreatic-portal fistula. A rare complication of chronic pancreatitis].
abstract: We report a 40-year-old patient with complication of chronic pancreatitis as a pancreatico-portal fistula. The patient had subcutaneous nodular fat necrosis of the lower limbs resembling Weber-Christian syndrome, and amylasic ascitis. The diagnosis was established with retrograde endoscopic cholangio-pancreatography which found three pancreatic pseudocysts and a communication with the portal venous system. A portal thrombosis with cavernum was studied with color echo-Doppler and arteriography. The echo-endoscopy was performed for the first time in this complication and its significance estimated. The evolution was quickly and spontaneously favourable. That is a very rare complication of chronic pancreatitis and an expectant conservative management can be adopted.
authors.affiliation: Servie d'Hépato-Gastroentérologie, Centre Hospitalier Général, Valenciennes.
authors.forename: A
authors.initials: A
authors.lastname: Rabache
authors.forename: J F
authors.initials: JF
authors.lastname: Crinquette
authors.forename: A
authors.initials: A
authors.lastname: Vermersch
authors.forename: P
authors.initials: P
authors.lastname: Cuingnet
authors.forename: V
authors.initials: V
authors.lastname: Maunoury
authors.forename: D
authors.initials: D
authors.lastname: Hanon
authors.forename: J
authors.initials: J
authors.lastname: Lescut
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging; D011169:Portal Vein / Q000000981:diagnostic imaging*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
vernacular_title: La fistule pancréatico-portale. Une complication rare de la pancréatite chronique.