[Pancreatic-portal fistula. A rare complication of chronic pancreatitis].
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.
Rabache
A
A
Servie d'Hépato-Gastroentérologie, Centre Hospitalier Général, Valenciennes.
Crinquette
J F
JF
Vermersch
A
A
Cuingnet
P
P
Maunoury
V
V
Hanon
D
D
Lescut
J
J
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*
La fistule pancréatico-portale. Une complication rare de la pancréatite chronique.