Spontaneous resolution of pancreatic gastric fistula.
Pancreatic pseudocyst is one of the common complications of acute and chronic pancreatitis and has variable natural history. We present a case of spontaneous resolution of a pancreatic pseudocyst with gastric connection. This case presented a 46-year-old man with a pancreatic pseudocyst resulting from a complication of acute pancreatitis. This resolved spontaneously through the formation of a fistula between the pseudocyst and stomach. The fistula tract was also occluded spontaneously and the patient recovered without any complication or need for surgical treatment. The patient has been good progress at a two year follow up after spontaneous resolution of the fistula.
Yeom
Hye Jung
HJ
Department of Internal Medicine, Gastroenterology Division, Ewha Womans University, Mok-Dong Hospital, Yankcheon-Ku Mok-Dong 911-1, Seoul, Republic of Korea.
Yi
Sun Young
SY
D000208:Acute Disease; D016145:Endoscopy, Digestive System; D005747:Gastric Fistula / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D010192:Pancreatic Pseudocyst / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D019512:Pancreatitis, Alcoholic / Q000150:complications; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed