Pancreatic choledochal fistula complicating acute pancreatitis
نویسندگان
چکیده
BACKGROUND Biliary tract involvement in acute necrotizing pancreatitis is rare. CASE REPORT We report a case of a 53-year-old man who had a pancreatic choledochal fistula complicating acute necrotizing pancreatitis. The fistula was suspected at computed tomography and confirmed at surgery. The patient underwent necrosectomy, cholecystectomy and proximal biliary diversion. He is well at 1-year follow-up. CONCLUSIONS Simultaneous presence of air in the biliary tree and pancreatic collection is highly suggestive of a pancreaticobiliary fistula. Pancreatic necrosectomy and proximal biliary diversion resulted in closure of the fistula.
منابع مشابه
Acute pancreatitis complicating a choledochal cyst.
Douglas (1852) appears to have been the first to describe the pathological and clinical features of choledochal cyst. It is not a common condition ; Maingot (1964), in a review of the literature, noted that 450 authentic cases had been reported. The complications of choledochal cyst are largely due to biliary obstruction, and include stone formation, suppurative cholangitis, hepatic abscess, bi...
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