Pancreaticocolonic fistula after extensive corrosive injury from esophagus to jejunum.
We report a case of extensive corrosive injury to the jejunum after ingestion of about 200 ml of hydrochloric acid as an attempted suicide. Subtotal esophagectomy, total gastroduodenectomy, segmental resection of the jejunum and partial pancreatectomy were performed in the first two operations. Forty-five days after surgery, the patient was well and discharged. Six months later, the patient underwent esophageal reconstruction surgery. During surgery, a pancreaticocolonic fistula between the head of the pancreas and the transverse colon was found. The esophageal reconstruction using the transverse colon was performed via the retrosternal route.
Fang
H Y
HY
Department of Surgery, Changhua Christian Hospital, Taiwan, ROC.
Lin
T S
TS
Cheng
C Y
CY
D000328:Adult; D002057:Burns, Chemical / Q000150:complications*; D003108:Colonic Diseases / Q000209:etiology*; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D010185:Pancreatic Fistula / Q000209:etiology*