Kei Horino, Hiroshi Takamori, Yoshiaki Ikuta, Akira Chikamoto, Takatoshi Ishiko, Toru Beppu, Hideo Baba
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
DOI: 10.4236/ojgas.2012.23028   PDF    HTML   XML   3,796 Downloads   6,315 Views   Citations

Abstract

Pancreatic pseudocyst-portal vein fistulae are extremely rare, and cause serious complications, including life-threatening sepsis. We report a 57-year-old man with pancreatic pseudocyst who was admitted to our hospital complaining of prolonged abdominal pain. A pancreatic duct tube was placed into the main pancreatic duct, as the pseudocyst was communicated to the pancreatic duct. He fell into septic shock state two weeks later. An ultrasonography-guided percutaneous drainage of the pseudocyst was performed. The amylase level of drained pus was 80,000 U/l. Pancreatic pseudocyst-portal vein fistula was demonstrated by fisterography. Symptoms disappeared immediately after drainage. No recurrence was observed afterward.

Keywords

Pancreatic Pseudocyst; Fistula; Pancreatitis; Portal Vein; Drainage

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Conflicts of Interest

The authors declare no conflicts of interest.

References

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