Korean J Radiol.  2015 Apr;16(2):446-447. 10.3348/kjr.2015.16.2.446.

Pancreatico-Colonic Fistula-Demonstrated by Multidetector-Row CT

Affiliations
  • 1Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore 768828, Singapore. sivasu2@gmail.com
  • 2Department of Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore.

Abstract

No abstract available.

Keyword

Pancreatico-colonic fistula; Diagnosis; Computed tomography

MeSH Terms

Acidosis
Adult
Colonic Diseases/radiography
Gastrointestinal Tract/*surgery
Humans
Intestinal Fistula/*radiography/*surgery
Male
*Tomography, X-Ray Computed

Figure

  • Fig. 1 Thin maximal intensity projection coronal CT image shows opacification of pancreatic duct, in region of pancreatic tail (short arrow) and tract (long arrow) with opacification of splenic flexure of colon (arrowhead).

  • Fig. 2 Thick maximum intensity projection oblique coronal CT image shows opacification of pancreatic duct in region of pancreatic tail (short arrow) and tract (long arrow) with opacification of splenic flexure in colon (arrowhead).

  • Fig. 3 Magnified thick maximal intensity projection image showing fistulous tract (long arrow). Distal pancreatic duct (short arrow) and splenic flexure of colon (arrowhead) are also seen.


Reference

1. Tüney D, Altun E, Barlas A, Yegen C. Pancreatico-colonic fistula after acute necrotizing pancreatitis. Diagnosis with spiral CT using rectal water soluble contrast media. JOP. 2008; 9:26–29.
2. Chung JB, Lee DK, Kim MW, Kang JK. A case of pancreaticocolo-cutaneous fistula; management guided by endoscopic retrograde cholangio-pancreatography. J Korean Med Sci. 1989; 4:23–27.
3. Shim KS, Suh JM, Yang YS, Choi JY, Park YH. Three-dimensional demonstration and endoscopic treatment of pancreaticoperitoneal fistula. Am J Gastroenterol. 1993; 88:1775–1779.
4. Tsiotos GG, Smith CD, Sarr MG. Incidence and management of pancreatic and enteric fistulas after surgical management of severe necrotizing pancreatitis. Arch Surg. 1995; 130:48–52.
5. Kwon JC, Kim BY, Kim AL, Kim TH, Park MI, Jung HJ, et al. Pancreatic pseudocystocolonic fistula treated without surgical or endoscopic intervention. World J Gastroenterol. 2014; 20:1882–1886.
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