Open Access Case Report Article ID: APDT-1-101

    Successful Conservative Management of Pancreatico-Colonic Fistula

    Hazem Ben Ameur*, Haitham Rejab, Wiem Feki, Moez Sahnoun, Rafi k Mzali and Zeineb Mnif

    Background: Internal fistula 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 findings: 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.

    Keywords: Acute pancreatitis; Pancreatic fistula; Computed tomography; Conservative; Surgery

    Published on: Jan 20, 2017 Pages: 1-3

    Full Text PDF Full Text HTML DOI: 10.17352/apdt.000001
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