Pancreatico-psoas fistula: a rare complication of acute pancreatitis.
The authors present a case of post endoscopic retrograde cholangio-pancreatography acute pancreatitis complicated by a pancreatico-psoas fistula, as well as reviewing similar previously published cases. The patient had a fluctuating clinical course over 4 months, developing multiple life-threatening complications including portal vein thrombosis, gastrointestinal bleeding, aspiration pneumonia and acute kidney injury on a background of chronic kidney disease. The authors followed the long-held surgical principle of draining sepsis and avoiding surgical intervention. The fistula dried up with conservative management and time also allowed portal venous collateral formation with resolution of his ascites.
Department of HPB Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK. sunitadeshmukh@doctors.org.uk
Sunita
S
Deshmukh
Keith
K
Roberts
Gareth
G
Morris-Stiff
Andrew
A
Smith
D000368:Aged; D003937:Diagnosis, Differential; D005402:Fistula / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D009135:Muscular Diseases / Q000175:diagnosis / Q000209:etiology*; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000209:etiology*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000175:diagnosis; D016658:Psoas Muscles; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed