Chronic pancreatitis complicated by pancreaticopericardial fistula

Ching, Siok Siong; Rao, Milind; Ali, Ased; Yeluri, Sashidhar; Chalmers, A.G.; McMahon, Michael

doi:10.1111/j.1744-1633.2007.00354.x

Cited by 7 publications

(6 citation statements)

References 5 publications

(6 reference statements)

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“…Another report described an adult patient who underwent an elective Roux-en-Y pancreaticojejunostomy without complication and remained symptom-free two years after surgery [4]. In our case, we have successfully managed the case with pancreatic endotherapy.…”

Section: Discussionmentioning

confidence: 59%

Pancreatic endotherapy in management of rare case of pancreatico-pericardial fistula post chronic pancreatitis: A case report

Pandey¹,

Shah²,

Pandav³

et al. 2015

Int J Hepatobiliary Pancreat Dis

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Introduction: Acute or chronic pancreatitis has been known to be associated with complications like Pseudocyst, pancreatic necrosis,splenic vein thrombosis, pancreatic ascites and pleural effusion. rarely do we find presentation of patient with cardiac tamponade and gross pericardial effusion due to pancreaticopericardial fistula. case report: We report a case of a 38-yearold male presented with chest tightness, abdominal fullness and dull aching abdominal pain. chest X-ray was suggestive of pericardial effusion which recurred immediately. contrastenhanced computed tomography (cEct) scan of abdomen revealed dilated MPD (main pancreatic duct), pseudocyst in head region extending up to epigastrium and communicating with collection under dome of diagphragm and with pericardial effusion. Endoscopic retrograde cholangiopancreaticography was performed, with pancreaticogram

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Section: Discussionmentioning

confidence: 59%

Pancreatic endotherapy in management of rare case of pancreatico-pericardial fistula post chronic pancreatitis: A case report

Pandey¹,

Shah²,

Pandav³

et al. 2015

Int J Hepatobiliary Pancreat Dis

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show abstract

“…Another report described an adult patient who underwent an elective Roux-en-Y pancreatico-jejunostomy without complication and remained symptom-free two years after surgery 8 . Unfortunately, our patient had untreated cirrhosis due to hepatitis C and alcohol misuse, and had continued to consume alcohol up until the day of admission, and was deemed a poor surgical candidate.…”

Section: Discussionmentioning

confidence: 99%

Pancreatico-pericardial fistula as a complication of chronic pancreatitis

Sommer

Wilcox

2014

F1000Res

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Pancreatico-pericardial fistula is an extremely rare complication of chronic pancreatitis. We present a case of a 58-year-old man who presented with syncope. Transthoracic echocardiogram revealed a pericardial effusion with tamponade physiology. Pericardiocentesis and pericardial fluid analysis demonstrated a lipase level of 2321 U/L. Subsequently, an endoscopic retrograde cholangiopancreatography (ERCP) was performed, confirming the presence of a pancreatico-pericardial fistula (PPF) from the distal body of the pancreas. A pancreatic duct stent was placed across the duct disruption on two separate occasions; however, despite stent placement, the patient continued to re-accumulate pericardial fluid and deteriorated. While rare, PPFs may complicate chronic pancreatitis, may not respond to pancreatic duct stenting and may portend a poor prognosis.

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“…In the presence of a fistula, serum amylase levels are of little or no benefit, as they may or may not be elevated, as was the case in our patient. 10 …”

Section: Discussionmentioning

confidence: 99%

“…Current recommendations are that the stent remain in situ for 6 weeks; however, long-term data is necessary to determine the role for stenting in the management of internal pancreatic fistulas. 10 …”

Section: Discussionmentioning

confidence: 99%

Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis

Parekh¹,

Howerton²,

Johnson³

2013

ACG Case Reports Journal

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Pancreaticopericardial fistula is an extremely rare complication of chronic pancreatitis and is virtually unheard of in the setting of acute pancreatitis. A 67-year-old male presented with acute pancreatitis complicated by pancreaticopericardial fistulization. The patient's initial presentation was consistent with tamponade physiology. Computed tomography demonstrated a gas-containing pericardial fluid llection extending into the anterior upper abdomen and ill-defined fluid collections within the pancreas representing necrosis with probable infection. Surgical exploration of the window revealed a pancreatic pericardial fistula and an infected window. The patient ultimately passed away from septic shock. We present this rare complication of pancreatitis and review the relevant literature.

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Chronic pancreatitis complicated by pancreaticopericardial fistula

Cited by 7 publications

References 5 publications

Pancreatic endotherapy in management of rare case of pancreatico-pericardial fistula post chronic pancreatitis: A case report

Pancreatic endotherapy in management of rare case of pancreatico-pericardial fistula post chronic pancreatitis: A case report

Pancreatico-pericardial fistula as a complication of chronic pancreatitis

Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis

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