Pancreatico-colonic fistula after acute necrotizing pancreatitis. Diagnosis with spiral CT using rectal water soluble contrast media.
BACKGROUND
Colonic complications are rare but lethal events in acute pancreatitis.


METHODS
We report the case of a 42-year-old man who suffered from a pancreatico-colonic fistula following a necrosectomy for severe pancreatitis; the fistula was demonstrated by spiral computed tomography using rectal water soluble contrast media.


CONCLUSIONS
Computed tomography with rectal contrast detects pancreatico-colonic fistulas.
Tüney
Davut
D
Department of Radiology, Marmara University Medical Faculty. Istanbul, Turkey.
Altun
Ersan
E
Barlas
Afsar
A
Yegen
Cumhur
C
D000328:Adult; D003106:Colon / Q000000981:diagnostic imaging; D003287:Contrast Media / Q000008:administration & dosage*; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D010179:Pancreas / Q000000981:diagnostic imaging; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications / Q000000981:diagnostic imaging*; D012007:Rectum; D012995:Solubility; D036542:Tomography, Spiral Computed / Q000379:methods*; D014867:Water
D003287:Contrast Media; D014867:Water