Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST


Medical Science Monitor Basic Research


Pancreatic choledochal fistula complicating acute pancreatitis

Rahat Brar, Iqbal Singh, Preetinder Brar, Abhishek Prasad, Rudra Prasad Doley, Jai Dev Wig

Am J Case Rep 2012; 13:47-50

DOI: 10.12659/AJCR.882600

Available online: 2012-03-20

Published: 2012-03-20


Background:    Biliary tract involvement in acute necrotizing pancreatitis is rare.
    Case Report:    We report a case of a 53-year-old man who had a pancreatic choledochal fistula complicating acute necrotizing pancreatitis. The fistula was suspected at computed tomography and confirmed at surgery. The patient underwent necrosectomy, cholecystectomy and proximal biliary diversion. He is well at 1-year follow-up.
    Conclusions:    Simultaneous presence of air in the biliary tree and pancreatic collection is highly suggestive of a pancreaticobiliary fistula. Pancreatic necrosectomy and proximal biliary diversion resulted in closure of the fistula.

Keywords: Fistula, pancreatitis, computed tomography , acute necrotizing, pneumobilia