Severe Acute Necrotising Pancreatitis Presenting as Pancreaticocutaneous Fistula: A Rare Complication

Mahajan, Janhavi Nitin; Saboo, Keyur Kishor; Kakde, Yogesh Kautikrao; Acharya, Sourya; Kumar, Sunil

doi:10.7860/jcdr/2023/59850.17957

Cited by 2 publications

(4 citation statements)

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“…Fistula development is one of the frequently described complications of severe ANP. The two organs where fistulas most frequently occur are the colon and duodenum [ 5 ]. Communication typically occurs in a gastrocolic fistula (GCF) between the greater curvature of the stomach and the distal transverse colon.…”

Section: Discussionmentioning

confidence: 99%

“…Fistula development is one of the frequently described complications of severe ANP. The two organs where fistulas most frequently occur are the colon and duodenum [5].…”

Section: Discussionmentioning

confidence: 99%

“…It frequently results in high mortality and dangerous infections [ 4 ]. ANP's consequences include bleeding, compressive symptoms in the duodenum, colon, and portal vein, and the collection spreading throughout the peritoneal or retroperitoneal cavity [ 5 ]. There are two natural stages to the progression of severe acute pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

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Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence

Pawar,

Reddy,

Kumar

et al. 2024

Cureus

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Tissue necrosis and ischemia are hallmarks of acute necrotizing pancreatitis, which frequently results in fatal infections. In this case, we describe a man in his 40s who had diffuse pain in the abdomen, intractable vomiting, diarrhoea, and intermittent fever. His abdominal computed tomography revealed acute pancreatitis with peripancreatic fluid collection, gastric perforation, and fistula formation between the greater curvature of the stomach and transverse colon. His upper gastrointestinal (GI) endoscopy confirmed a gastrocolic fistula.

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Section: Discussionmentioning

confidence: 99%

“…Fistula development is one of the frequently described complications of severe ANP. The two organs where fistulas most frequently occur are the colon and duodenum [5].…”

Section: Discussionmentioning

confidence: 99%

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Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence

Pawar,

Reddy,

Kumar

et al. 2024

Cureus

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“…Pancreatic divisum as a common etiology in young populations for acute recurrent pancreatitis and chronic pancreatitis should be considered and its complications should be managed unless it can lead to serious complications like acute necrosis of the pancreas and pseudocyst of the pancreas [5]. Also, pancreatitis can lead to a pancreaticocutaneous fistula [6]. Also, long-term alcohol consumption is a common cause of chronic pancreatitis progression and can lead to complications like pseudocyst of the pancreas, pancreatic calculi, and biliary dilatation [7].…”

Section: Introductionmentioning

confidence: 99%

Recurrent Acute-on-Chronic Pancreatitis in a Chronic Alcoholic With Pancreatic Divisum: A Complex Case

Raut,

Acharya,

Kumar

et al. 2024

Cureus

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Pancreatic divisum, a rare developmental anomaly of the pancreas, is infrequently observed in young individuals and is a recognized cause of recurrent acute pancreatitis, ultimately progressing to chronic pancreatitis. Chronic alcoholism is a prevalent and significant etiological factor contributing to both recurrent acute pancreatitis and chronic pancreatitis. This case report details the presentation of a 28-year-old patient with a history of chronic alcoholism, exhibiting recurrent acute pancreatitis evolving into chronic pancreatitis. Diagnostic evaluation revealed the presence of pancreatic divisum with associated pancreatic intraductal calculi, a common trigger for pancreatitis. The patient underwent successful management through endoscopic retrograde cholangiopancreatography, pancreatic lithotripsy, and pigtail pancreatic stent placement. This case highlights the complex interplay between chronic alcoholism leading to recurrent acute pancreatitis and pancreatic divisum, a rare congenital anomaly, which is found later in this case, complicating the disease.

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Severe Acute Necrotising Pancreatitis Presenting as Pancreaticocutaneous Fistula: A Rare Complication

Cited by 2 publications

References 0 publications

Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence

Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence

Recurrent Acute-on-Chronic Pancreatitis in a Chronic Alcoholic With Pancreatic Divisum: A Complex Case

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