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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

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.

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