A Case of a Pancreaticobiliary Fistula Accompanied by Pancreatic Duct Stones / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 231-234, 2000.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-184880
Biblioteca responsável:
WPRO
ABSTRACT
A Pancreaticobiliary fistula is a rare complication of acute necrotizing pancreatitis or pancreatic abscess. One case is herein reported of pancreaticobiliary fistula that was found following removal of pancreatic duct stones by extracorporeal shock-wave lithotripsy and endoscopic sphincterotomy. The patient was a 53-year old woman who was admitted with epigastric pain and fever. Endoscopic retrograde pancreatography revealed multiple stones in the main pancreatic duct. Pus from the pancreatic duct was drained through the major papilla during cannulation. On balloon cholangiogram obtained after removal of the stones, a direct fistulous connection between the main pancreatic duct and distal common bile duct was noted. It is speculated that pancreatic abscess or mechanical compression of pancreatic duct stones may contribute to the destruction of the intrapancreatic bile duct, which leads to the formation of a pancreaticobiliary fistula.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ductos Pancreáticos
/
Supuração
/
Ductos Biliares
/
Litotripsia
/
Cateterismo
/
Esfinterotomia Endoscópica
/
Ducto Colédoco
/
Pancreatite Necrosante Aguda
/
Abscesso
/
Febre
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2000
Tipo de documento:
Artigo