title: Diagnosis of pancreatic duct-portal vein fistula; a case report and review of the literature.
abstract: Pseudocysts containing activated enzymes are a common complication of pancreatitis. Pseudocysts can rupture into adjacent structures including the peritoneal cavity, adjacent organs, and rarely vascular structures. While arterial pseudoaneurysms and venous thrombosis or occlusion are well known complications of acute and chronic pancreatitis, only 17 cases of pancreas-portal venous fistula have been encountered in review of the literature. A patient with chronic pancreatitis presented with a history of weight loss, fatigue and was found to have a pancreatic duct-portal vein fistula. The patient was treated surgically with good outcome.
authors: Department of Radiology, University of Colorado hospital, Denver, USA.
authors: Anthony
authors: A
authors: Brown
authors: Department of Radiology, Swedish hospital, Denver, USA.
authors: Eric
authors: E
authors: Malden
authors: Department of Gastroenterology, Swedish hospital, Denver, USA.
authors: Marcelo
authors: M
authors: Kugelmas
authors: Department of Surgery, Swedish hospital, Denver, USA.
authors: Eric
authors: E
authors: Kortz
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010185:Pancreatic Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000150:complications; D019512:Pancreatitis, Alcoholic / Q000150:complications; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011172:Portography; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery
keywords: fat necrosis; fistula; pancreatic duct; pancreatitis; percutaneous trans-hepatic portography; portal vein; pseudocyst