Acute pancreatic graft fistula and peripancreatic fluid collection: demonstration by secretin-stimulated MRI.
Peripancreatic fluid collections are among the common post pancreas transplant complications, which are mainly due to leakage from the anastomosis site to bowel and graft pancreatitis. Differentiation between these two entities is important because they are treated differently. In this case, secretin stimulated magnetic resonance cholangiopancreatography revealed gradual intraperitoneal fluid collection and accumulation of fluid in small bowel excluded leakage from the anastomosis of the pancreas to bowel and changed the management from surgery to medical treatment.
Division of Gastroenterology, Department of Internal Medicine, Saint Louis University Hospital, St Louis MO 63110, USA.
Saad
S
Alkaade
Rana
R
Fattahi
N Cem
NC
Balci
E Isin
EI
Akduman
Paul J
PJ
Garvin
Kian Ali
KA
Modanlou
Frank R
FR
Burton
D000038:Abscess / Q000175:diagnosis* / Q000209:etiology*; D000208:Acute Disease; D049448:Cholangiopancreatography, Magnetic Resonance / Q000379:methods; D003287:Contrast Media; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects* / Q000473:pathology*; D010185:Pancreatic Fistula / Q000175:diagnosis* / Q000209:etiology*; D055589:Pancreatitis, Graft / Q000175:diagnosis* / Q000209:etiology*; D012633:Secretin
D003287:Contrast Media; D012633:Secretin