Pancreatocolonic fistula due to severe acute pancreatitis: imaging findings.
Colonic involvement is an uncommon but potentially lethal complication of severe acute pancreatitis. The spectrum of colonic complications includes localized ileus with "pseudo-obstruction", obstruction, necrosis, hemorrhage, fistula, and ischemic colitis. We report on a patient who developed pancreatocolonic fistulization in the course of protracted severe acute pancreatitis. Emphasis is made on the computed tomographic and water soluble contrast enema findings.
De Backer
A I
AI
Department of Radiology, Algemeen Centrumziekenhuis Antwerpen, Belgium.
Mortelé
K J
KJ
Vaneerdeweg
W
W
Ros
P R
PR
D000208:Acute Disease; D000368:Aged; D001466:Barium Sulfate; D003287:Contrast Media; D004733:Enema; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology*; D008297:Male; D009325:Nausea / Q000209:etiology; D010146:Pain / Q000209:etiology; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging* / Q000209:etiology*; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology
D003287:Contrast Media; D001466:Barium Sulfate