Korean J Gastroenterol.  2000 Apr;35(4):522-528.

Two Cases of Spontaneous Duodenal Fistula Complicating Recurrent Acute Pancreatitis

Abstract

Intestinal pancreatic fistula complicating acute pancreatitis usually follows surgical intervention or drainage of a pseudocyst or abscess. Occasionally, spontaneous intestinal fistula may develop due to the rupture of a pancreatic pseudocyst or abscess into the adjacent viscera, or the gastrointestinal necrosis secondary to vascular thrombosis in peripancreatic inflammation. Here, we report two cases of spontaneous duodenal fistula complicated by pancreas divisum-associated acute pancreatitis. One case occurred due to spontaneous rupture of a pseudocyst into the duodenum and the other case occurred by periduodenal panniculitis secondary to ductal disruption.

Keyword

Intestinal pancreatic fistula; Spontaneous duodenal fistula; Acute pancreatitis; Pancreas

MeSH Terms

Abscess
Drainage
Duodenum
Fistula*
Inflammation
Intestinal Fistula
Necrosis
Pancreas
Pancreatic Fistula
Pancreatic Pseudocyst
Pancreatitis*
Panniculitis
Rupture
Rupture, Spontaneous
Thrombosis
Viscera
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