Pancreatico-psoas fistula: a rare complication of acute pancreatitis
- Correspondence to Dr Sunita Deshmukh, sunitadeshmukh{at}doctors.org.uk
Summary
The authors present a case of post endoscopic retrograde cholangio-pancreatography acute pancreatitis complicated by a pancreatico-psoas fistula, as well as reviewing similar previously published cases. The patient had a fluctuating clinical course over 4 months, developing multiple life-threatening complications including portal vein thrombosis, gastrointestinal bleeding, aspiration pneumonia and acute kidney injury on a background of chronic kidney disease. The authors followed the long-held surgical principle of draining sepsis and avoiding surgical intervention. The fistula dried up with conservative management and time also allowed portal venous collateral formation with resolution of his ascites.
Footnotes
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Competing interests None.
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Patient consent Not obtained.
