Percutaneous treatment of a pancreatic fistula after pancreaticoduodenectomy.
Breakdown of the pancreaticojejunal anastomosis after a Whipple procedure is reported to occur in as many as 15% of cases. Intraoperative placement of a drain adjacent to the anastomosis is performed to allow the creation of a controlled pancreaticocutaneous fistula in the event of an anastomotic disruption. The authors present a case of successful percutaneous treatment of a disrupted pancreaticojejunal anastomosis. This was achieved with use of the resulting pancreaticocutaneous fistula for access to restore internal drainage, followed by fistula occlusion with use of gelatin pledgets.
Sheiman
R G
RG
Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA. rsheiman@caregroup.harvard.edu
Chan
R
R
Matthews
J B
JB
D000714:Anastomosis, Surgical; D002404:Catheterization; D005260:Female; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D010193:Pancreaticojejunostomy / Q000009:adverse effects; D012871:Skin Diseases / Q000209:etiology / Q000628:therapy*