Pancreatico-pericardial fistula: a rare complication of chronic pancreatitis.
A 16-year-old boy presented with pericardial effusion, bilateral pleural effusion and mediastinal fluid collection. CT scan of abdomen revealed pancreatic calcification and a fistulous tract from a pseudocyst going along the inferior vena cava wall up to the pericardial cavity. After initial pericardiocentesis and pleurocentesis, lateral pancreatico-jejunostomy with Roux-en-Y loop was performed. The patient is well at 6 months follow up.
Balasubramanian
Prakash
P
Department of Medicine, Christian Medical College, Vellore 632 004.
Jeyamani
R
R
Govil
S
S
Chacko
Ashok
A
Kurian
George
G
Subhash
H S
HS
Govil
S
S
Thomas
K
K
D000293:Adolescent; D002114:Calcinosis; D002908:Chronic Disease; D005402:Fistula / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000473:pathology; D010185:Pancreatic Fistula / Q000209:etiology*; D010195:Pancreatitis / Q000150:complications*; D010496:Pericardium; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed