Successful Treatment of Pancreatic Pseudocysto-Duodenum Fistula with Ultrasound Endoscopic Drainage: A Case Report

Pancreatic pseudocysts represent a complication of acute interstitial edematous pancreatitis with a frequency of about 10–20%, and most of these resolve spontaneously. Treatment is indicated only in patients who develop symptoms such as abdominal pain, gastric outlet obstruction, jaundice for compre...

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Bibliographic Details
Published in:International journal of translational medicine 2022-11, Vol.2 (4), p.537-542
Main Authors: Lattanzi, Barbara, Febbraro, Ingrid, Pironti, Eliseo, Bianchi, Marco
Format: Article
Language:English
Subjects:
Abdomen
acute pancreatitis complication
Asymptomatic
Blood
Case reports
Conflicts of interest
Cysts
Endoscopy
Fistula
Hospitals
Laboratories
lumen-apposing metal stent
Medical imaging
Neutrophils
Pain
Pancreas
pancreatic fluid collection
pancreatic pseudocyst’s fistula
Pancreatitis
Sepsis
Small intestine
Stents
Ultrasonic imaging
ultrasound endoscopy
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Description
Summary:Pancreatic pseudocysts represent a complication of acute interstitial edematous pancreatitis with a frequency of about 10–20%, and most of these resolve spontaneously. Treatment is indicated only in patients who develop symptoms such as abdominal pain, gastric outlet obstruction, jaundice for compression of the biliary system, or in case of infection. Pancreatic pseudocysts’ complications include pseudocyst infection leading to sepsis, rupture with pancreatic ascites, bleeding or formation of pseudoaneurysm, and, rarely, fistulization to other viscera. The most common sites for fistulas are between cysts and the stomach, duodenum, and colon. Here, we present the case of a patient with severe acute pancreatitis who developed multiple infected fluid collections with a cysto-duodenum fistula that was successfully treated with endoscopic intervention.
ISSN:2673-8937
2673-8937
DOI:10.3390/ijtm2040040