Habermann Alyssa, Otoya Diana, Yu Kyeong Ri, Burkhardt Brian, Amendola Michael, Rivers Jeannie
Virginia Commonwealth University Health System, Richmond, VA, 1200 East Broad Street, 16th Floor, West Wing, Box 980645, Richmond, VA 23298-0645, United States of America.
Central Virginia Veterans Administration Health System, Richmond, VA, 1201 Broad Rock Boulevard, Richmond, VA 23249-4915, United States of America.
Int J Surg Case Rep. 2025 May;130:111323. doi: 10.1016/j.ijscr.2025.111323. Epub 2025 Apr 21.
Pancreaticogastric fistula is a very rare phenomenon typically caused by mucinous neoplasms of the pancreas. We present a case report of a patient who developed a pancreaticogastric fistula as a sequela of chronic pancreatitis, which has never been reported in the literature.
The patient had a benign inflammatory pancreatic head mass causing pancreatic duct and common bile duct obstruction eventually leading pancreaticogastric fistula formation located just anterior to the splenic artery. A three-dimensional (3D)-printed model of the patient's complex anatomy was created for presurgical planning utilizing both computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP). The patient underwent Puestow pancreaticojejunostomy, choledochojejunostomy, and takedown of pancreaticogastric fistula to successfully decompressed the pancreatic duct and common bile duct.
The use of 3D printing allowed for improved presurgical planning and patient education relating to a rare and complex surgical problem. The patient underwent a successful surgery which led to resolution of his symptoms.
3D printing is a useful tool for both surgeons and patients to understand complex surgical anatomy.
胰胃瘘是一种非常罕见的现象，通常由胰腺黏液性肿瘤引起。我们报告一例患者，其因慢性胰腺炎后遗症出现胰胃瘘，这在文献中从未有过报道。
该患者有一个良性炎性胰腺头部肿块，导致胰管和胆总管梗阻，最终在脾动脉前方形成胰胃瘘。利用计算机断层扫描（CT）和磁共振胰胆管造影（MRCP）为患者创建了复杂解剖结构的三维（3D）打印模型，用于术前规划。患者接受了普埃斯托胰空肠吻合术、胆总管空肠吻合术以及胰胃瘘切除术，成功解除了胰管和胆总管的梗阻。
3D打印的应用有助于改善针对罕见且复杂手术问题的术前规划和患者教育。患者接受了成功的手术，症状得以缓解。
3D打印是外科医生和患者理解复杂手术解剖结构的有用工具。
