Accessory Pancreatic Duct-Portal Vein Fistula: A Rare Complication of Chronic Pancreatitis during Endoscopic Retrograde Cholangiopancreatography
نویسندگان
چکیده
Pancreatitis, hemorrhage and perforation are the most frequent complications associated with endoscopic retrograde cholangiopancreatography (ERCP). We report a rare case of accessory pancreatic duct-portal vein fistula, which occurred during ERCP in a patient with chronic pancreatitis. To our knowledge, this is the first report of accessory pancreatic duct-portal vein fistula created during ERCP by the use of a guide wire.
منابع مشابه
Pancreaticoportal Fistula Formation as a Consequence of Recurrent Acute Pancreatitis: Clinical and Imaging Considerations
A pancreatic-portal vein fistula (PPVF) is an extremely rare complication of pancreatitis. In this report, we present a patient with a PPVF in the setting of recurrent pancreatitis and portal vein thrombosis diagnosed by cross-sectional imaging and endoscopic retrograde cholangio-pancreatography, who responded to medical management and anticoagulation. A critical review of this disease process ...
متن کاملPancreaticopleural fistula: a rare complication of ERCP – induced pancreatitis
Pancreaticopleural fistula is a rare complication of acute and chronic pancreatitis caused by an inflammatory or traumatic injury to the pancreatic duct. The ensuing thoracic collections may be in the form of pleural effusions, pleural pseudocysts or mediastinal pseudocysts. Treatment options may be conservative or surgical. We present a case of post endoscopic retrograde cholangio-pancreatogra...
متن کاملPancreatico-pericardial fistula as a complication of chronic pancreatitis
Pancreatico-pericardial fistula is an extremely rare complication of chronic pancreatitis. We present a case of a 58-year-old man who presented with syncope. Transthoracic echocardiogram revealed a pericardial effusion with tamponade physiology. Pericardiocentesis and pericardial fluid analysis demonstrated a lipase level of 2321 U/L. Subsequently, an endoscopic retrograde cholangiopancreatogra...
متن کاملThe value of a pancreatogram in chronic pancreatitis diagnosed by endoscopic retrograde cholangiopancreatography.
CONTEXT The presence, course and shape of the accessory pancreatic duct have not been previously studied in patients with chronic pancreatitis. OBJECTIVES The accessory pancreatic duct exhibits several appearances on pancreatography. It was examined using dye-injection endoscopic retrograde cholangiopancreatography, and the duct course and shape were studied in patients having chronic pancrea...
متن کاملAcute portal vein thrombosis and massive necrosis of the liver. An unusual complication after stenting for chronic pancreatitis.
CONTEXT ERCP can provide information which is invaluable in managing chronic pancreatitis but it is associated with infrequent, although significant, complications and rare mortality. The complications uniquely associated with diagnostic ERCP include pancreatitis and sepsis (primary cholangitis). CASE REPORT A 32-year-old man presented with severe upper abdominal pain radiating to the back, a...
متن کامل