[A case of pancreaticoportal fistula associated with acute severe pancreatitis].
Pancreatic fistulas are usually caused by the disruption of pancreatic duct. The majority of pancreatic fistulas are external fistulas and common causes of external and internal pancreatic fistulas are trauma and surgery. Internal pancreatic fistulas due to pancreatitis are rare. Internal pancreatic fistulas may communicate with peritoneal cavity, colon, small bowel, biliary system or pleural cavity. Among them, fistula between pancreatic duct and portal vein due to acute pancreatitis is rare. We report a case of 32-year-old male with fistula between pancreatic duct and portal vein as a complication of acute pancreatitis. Pancreaticoportal fistula was diagnosed by endoscopic retrograde cholangiopancreatography. He recovered after distal pancreatectomy with splenectomy and supportive care.
Yeo
Young Sun
YS
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Kim
Myung Hwan
MH
Yu
Mi Hyun
MH
Jung
Young Ju
YJ
Kim
Soon Joo
SJ
Byun
Jae Ho
JH
D000208:Acute Disease; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000209:etiology*; D010195:Pancreatitis / Q000150:complications*; D011169:Portal Vein; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology*