Pancreatic pseudocystocolonic fistula treated without surgical or endoscopic intervention

We report here a case of pancreatic pseudocystocolic fistula that was treated without surgical or endoscopic intervention.A 76-year-old woman,presenting with a fever and epigastric pain,was referred to our institution.Three months prior to this admission,the patient had been admitted to the hospital...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastroenterology : WJG 2014-02, Vol.20 (7), p.1882-1886
Main Authors: Kwon, Jae Choon, Kim, Bo Yean, Kim, Ah Lim, Kim, Tae Hoon, Park, Myung Il, Jung, Ho Jin, Lim, Jang Hwan, Jung, Jae Kwon, Kim, Hyun Soo, Lee, Dong Wook
Format: Article
Language:English
Subjects:
Acute
Aged
Air
Case Report
Colonoscopy
Drainage
Female
fis
Humans
Pancreatic Fistula - therapy
Pancreatic Pseudocyst - therapy
pancreatitis
Pancreatitis - complications
Pseudocyst
Pseudocystocolic
Tomography, X-Ray Computed
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report here a case of pancreatic pseudocystocolic fistula that was treated without surgical or endoscopic intervention.A 76-year-old woman,presenting with a fever and epigastric pain,was referred to our institution.Three months prior to this admission,the patient had been admitted to the hospital for acute pancreatitis.Abdominal computerized tomography(CT)revealed a 9 cm pseudocyst containing air,and a fistular opening was observed via colonoscopy.After colonoscopy,the abdominal pain was slightly improved,the fever subsided and laboratory results showed decreased C-reactive protein levels.The observed improvement was likely due to the cleansing of the bowel,which induced spontaneous drainage from the pseudocyst into the colon.Antibiotic therapy was administered and daily bowel cleansing was performed using a polyethylene glycol solution.After three weeks,a follow-up CT revealed that the size of the pseudocyst had decreased significantly from 9 to 5.3 cm.In addition,laboratory tests were improved.The patient was able to resume a normal diet and was discharged in good overall health from the hospital,without aggravation of the symptoms.A colonoscopy performed 3 mo later and a follow-up CT performed 6 mo later confirmed that both the fistula and pseudocyst had completely disappeared.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i7.1882