Successful Conservative Management of Pancreatico-Colonic Fistula

Background: Internal fi stula with adjacent viscera during acute pancreatitis is a rare complication. Due to their anatomic localization, colon, duodenum or stomach may be involved. Pancreatico-colonic fi stula is associated with a higher septic risk and surgery is usually mandatory. Results and main fi ndings: We report a new case in 71-year-old man diagnosed by CT with rectal water soluble contrast media and managed conservatively. To our knowledge, this is the second case in the literature treated in this way. Conclusion: Conservative treatment may be offered to selected patients who have a rapid improvement of symptoms associated with a signifi cant regression of the collection. Case Report Successful Conservative Management of Pancreatico-Colonic Fistula Hazem Ben Ameur1*, Haitham Rejab1, Wiem Feki2, Moez Sahnoun1, Rafi k Mzali1 and Zeineb Mnif2 1Department of General and Digestive Surgery, Habib Bourguiba’s Teaching Hospital, 3029 Sfax, Tunisia 2Department of Radiology, Hedi Chaker’s Teaching Hospital, 3029 Sfax, Tunisia Dates: Received: 09 January, 2017; Accepted: 16 January, 2017; Published: 20 January, 2017 *Corresponding author: Dr. Hazem Ben Ameur. Department of General and Digestive Surgery, Habib Bourguiba’s teaching hospital, El Ferdaous Street, 3029 Sfax, Tunisia, Tel: +216) 53587960: Fax: +216) 74243427; E-mail: