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Endoscopy 1981; 13(5): 221-222
DOI: 10.1055/s-2007-1021690
© Georg Thieme Verlag KG Stuttgart · New York

Pancreatic Pseudocyst and Pancreatico-duodenal Fistula Diagnosed by Endoscopic Fistulography

G. Hoff, J. Heldaas
  • Medical and Radiological Department, Telemark Sentralsykehus, 3700 Skien, Norway
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

To our knowledge, primary endoscopic diagnosis of pancreaticoduodenal fistulae has not so far been reported. The diagnosis is often made radiographically at endoscopic retrograde cholangiopancreatography (ERCP). We report one such case, in which a barium meal x-ray suggested duodenal ulceration, and the endoscopic findings suggested a duodenal diverticulum, the bottom of which could not be clearly defined. Instillation of contrast medium revealed the true fistulous nature of the diverticulum-like defect in the duodenal wall. This patient also had a pancreatic pseudocyst communicating with the fistula through the caudal part of the pancreatic duct, visualized during endoscopic fistulography. The patient did well on conservative treatment without surgical intervention.

Key words:

Endoscopic fistulography - Pancreas - Pseudocysts and Fistula

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