title: Pancreaticoatmospheric fistula following severe acute necrotising pancreatitis.
abstract: Severe acute necrotising pancreatitis is associated with numerous local and systemic complications. Abdominal compartment syndrome requiring urgent decompressive laparotomy is a potential complication of this disease process and is associated with increased morbidity and mortality. We describe the case of a pancreaticoatmospheric fistula following decompressive laparotomy in a patient with severe acute necrotising pancreatitis. While this fistula was managed successfully using the current standard of care for pancreatic fistulas, the wound care for in this patient with drainage of the fistula through an open abdomen, is a significant challenge.
authors.affiliation: Department of Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Eve
authors.initials: E
authors.lastname: Simoneau
authors.affiliation: Department of Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Talat
authors.initials: T
authors.lastname: Chughtai
authors.affiliation: Department of Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Tarek
authors.initials: T
authors.lastname: Razek
authors.affiliation: Department of Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Dan L
authors.initials: DL
authors.lastname: Deckelbaum
mesh_terms: D000005:Abdomen / Q000473:pathology; D000208:Acute Disease; D000368:Aged; D004322:Drainage; D005402:Fistula; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000209:etiology / Q000601:surgery*; D007813:Laparotomy / Q000009:adverse effects*; D008297:Male; D010185:Pancreatic Fistula / Q000209:etiology* / Q000628:therapy; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications*; D011183:Postoperative Complications; D014945:Wound Healing