Pancreatico-Colonic Fistula-Demonstrated by Multidetector-Row CT

A 25-year-old man presented to the emergency department with a history of corrosive (turpentine) ingestion. Clinically, the patient had metabolic acidosis and his total white cell count was 28600/mm. Computed tomography (CT) scan of the thorax and abdomen revealed diffuse thickening of the esophagus, stomach and duodenum. Minimal free fluid was present in the abdomen. The patient was first stabilised and step wise reconstruction of the gastro-intestinal tract was performed after esophagectomy, gastrectomy, pancreaticoduodenectomy, cholecystectomy, choledocho-jejenostomy and creation of a feeding jejenostomy. During the post-op period (around two months after the initial presentation), the patient had leakage of pancreatic secretions through the drain. CT of the abdomen was performed and dilute nonionic iodinated contrast was injected through the surgical drain tube, which revealed opacification of the pancreatic