[A gastrocutaneous fistula secondary to the percutaneous drainage of a pancreatic abscess. A case report].
Pancreatic abscesses are a frequent complication of acute pancreatitis and their percutaneous drainage is usually accepted. A 76 years-old male patient admitted for acute pancreatitis (Ranson 3 at admission) has been treated with conservative therapy and percutaneous US directed drainage of the abscess, located between the tail of the pancreas and the gastric fundus. This kind of drainage was able to empty the abscess satisfactorily but it caused the onset of a gastrocutaneous fistula. This one was sutured on the gastric side by metal clips placed by gastroscopy. The patient was discharged on the 60th day in a good condition. An X-ray investigation with gastrografine before the drainage removal is therefore recommended.
Paludetti
A
A
Divisione di Chirurgia II, Ospedale di Treviglio, Bergamo.
Reduzzi
R
R
Frosali
D
D
Forloni
B
B
D000038:Abscess / Q000150:complications* / Q000628:therapy; D000368:Aged; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016154:Digestive System Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004322:Drainage / Q000009:adverse effects; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications* / Q000628:therapy; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Fistola gastrocutanea secondaria a drenaggio percutaneo di ascesso pancreatico. Descrizione di un caso.