Willis S M, Brewer T G
Gastroenterology Service, Walter Reed Army Medical Center, Washington, D.C.
Gastroenterology. 1989 Oct;97(4):1025-7. doi: 10.1016/0016-5085(89)91514-x.
We describe a case of pancreatic duct-portal vein fistula discovered by endoscopic retrograde cholangiopancreatography, with confirmatory computed tomography and angiographic studies. The fistula was associated with chronic pancreatitis that was complicated by recurrent gram-negative bacteremia and peripheral subcutaneous fat necrosis, although pancreatic pseudocyst was not present. Even though surgical treatment was recommended, medical complications precluded surgery and the patient recovered with supportive therapy only. Follow-up endoscopic retrograde cholangiopancreatography showed spontaneous closure of the fistulous connection.
我们描述了一例通过内镜逆行胰胆管造影术发现的胰管-门静脉瘘，并经计算机断层扫描和血管造影研究证实。该瘘与慢性胰腺炎相关，慢性胰腺炎并发复发性革兰氏阴性菌血症和外周皮下脂肪坏死，尽管不存在胰腺假性囊肿。尽管建议进行手术治疗，但医疗并发症使手术无法进行，患者仅通过支持治疗康复。随访的内镜逆行胰胆管造影显示瘘管连接自发闭合。
