title: Successful percutaneous drainage with iodine irrigation for pancreatic fistulas and abscesses after necrotizing pancreatitis.
abstract: OBJECTIVE
  To report an uncommon method of managing pancreatic fistulas and retroperitoneal abscess.
  
  
  METHODS
  A 50-year-old man was admitted with fever, abdominal pain, periumbilical fistula and pus in stool. Five months before admission, he underwent urgent necrosectomy (7 days after onset of pain) and subsequently two more surgeries for necrotizing pancreatitis. Ultrasound revealed fluid collection in the retropancreatic space. After evacuation of pus, contrast medium instilled through a catheter showed a retroperitoneal abscess cavity, retroperitoneal-periumbilical and retroperitoneal-sigmoidal fistulas. After percutaneous drainage and iodine irrigation, the abscess collection and fistulas disappeared.
  
  
  CONCLUSIONS
  In this case, percutaneous drainage was a successful option in the management of pancreatic fistulas and a retroperitoneal abscess.
authors.affiliation: University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina. zerem@live.com
authors.forename: Enver
authors.initials: E
authors.lastname: Zerem
authors.forename: Safet
authors.initials: S
authors.lastname: Omerović
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D004322:Drainage; D006801:Humans; D007455:Iodine / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications*; D012187:Retroperitoneal Space; D007507:Therapeutic Irrigation
chemical_list: D007455:Iodine