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MDCT in Diagnosis of Uncommon Fistulous Complications of Severe Pancreatitis-Pictorial Essay
Department of Radiology, Sri Ramachandra University, Chennai, India
Department of Radiology, Sri Ramachandra University, Chennai, India
Department of Radiology, Sri Ramachandra University, Chennai, India
Department of Radiology, Sri Ramachandra University, Chennai, India
Department of Radiology, Sri Ramachandra University, Chennai, India
- 1 Department of Radiology, Sri Ramachandra University, Chennai, India
- 2 Department of Radiology, Sri Ramachandra University, Chennai, India
- 3 Department of Radiology, Sri Ramachandra University, Chennai, India
- 4 Department of Radiology, Sri Ramachandra University, Chennai, India
- 5 Department of Radiology, Sri Ramachandra University, Chennai, India
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Abstract
Fistulous complication of pancreatitis is a surgical emergency with varied clinical presentations. Early diagnosis is very important to minimize morbidity whereas delayed or missed diagnosis can cause life threatening consequences. Multi detector computed tomography (MDCT) with and without intravenous contrast is an accurate and reliable imaging modality allowing prompt diagnosis and management. In this essay, we present an overview of the radiological features found in uncommon fistulous complications of pancreatitis.
KeywordsPancreatitisPseudo CystPancreatic Fistula
- Vege, S.S., Kendrick, M.L., Whitcomb, D.C., Ashley, S.W. and Grover, S. (2012) Clinical Features, Diagnosis, and Prevention of Pancreatic Fistulas. 25 July 2012, Up to Date.
- Apostolou, C., Krige, J.E.J. and Bornman, P.C. (2006) Pancreatic Pseudocysts. South African Journal of Surgery, 4, 148-155.
- Torres, W.E., Clements Jr., J.L., Sones, P.J. and Konpf, D.R. (1981) Gas in the Pancreatic Bed without Abscess. American Journal of Roentgenology, 137, 1131-1133.
- Clements Jr., J.L., Bradley III, E.L. and Eaton Jr., S.B. (1976) Spontaneous Internal Drainage of Pancreatic Pseudocysts. American Journal of Roentgenology, 126, 985-991. http://dx.doi.org/10.2214/ajr.126.5.985
- Mehta, R. and Suva Rana, D. (2004) Natural Course of Asymptomatic Pancreatic Pseudocyst: A Prospective Study. Indian Journal of Gastroenterology, 23, 140-142.
- Wig, J.D., Kochhar, R., Bharathy, K.G., Kudari, A.K., Doley, R.P., Yadav, T.D. and Kalra, N. (2008) Emphysematous Pancreatitis. Radiological Curiosity or a Cause for Concern? Journal of Pancreas, 9, 160-166.
- Willard, M.R. and Schafer, H.A. (1982) Resolution of Pancreatic Pseudo-Cyst by Spontaneous Rupture into Stomach. Southern Medical Journal, 75, 618-620. http://dx.doi.org/10.1097/00007611-198205000-00033
- Tüney, D., Altun, E., Barlas, A. and Yegen, C. (2008) Pancreatico-Colonic Fistula after Acute Necrotizing Pancreatitis. Diagnosis with Spiral CT Using Rectal Water Soluble Contrast Media. Journal of the Pancreas, 9, 26-29.
- Fekete, F., Le Mee, J., Langonnet, F., Gayet, B. and Belghiti, J. (1989) A Surgical Etiology of Respiratory Distress in Necrotizing Pancreatitis: Pancreato-Bronchial Fistula. 3 Cases. Chirurgie, 115, 106-112.
- Jain, S.K., Basra, B.K., Nanda, G., Srivathsan, R. and Gaza, R.C. (2009) Rare Case of Internal Pancreatic Fistula in a Young Adult Presenting with Massive Bilateral Pleural Effusion. BMJ Case Reports.