Successful Conservative Management of Pancreatico-Colonic Fistula

<p><strong>Background</strong>: 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...

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Bibliographic Details
Main Authors: Hazem Ben Ameur (Author), Haitham Rejab (Author), Wiem Feki (Author), Moez Sahnoun (Author), Rafi k Mzali (Author), Zeineb Mnif (Author)
Format: Book
Published: Annals of Pancreatic Disorders and Treatment - Peertechz Publications, 2017-01-20.
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Summary:<p><strong>Background</strong>: 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.</p><p><strong>Results and main findings</strong>: 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.</p><p><strong>Conclusion</strong>: Conservative treatment may be offered to selected patients who have a rapid improvement of symptoms associated with a signifi cant regression of the collection.</p>
DOI:10.17352/apdt.000001