Percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis in the management of a case of intractable pancreatic cutaneous fistula.

In the treatment of postoperative pancreatic cutaneous fistula, various non-surgical techniques are recommended due to the potential complications from repeated operation in the presence of marked inflammatory changes and adhesions. We describe herein the case of a 70-year-old Japanese man with an intractable pancreatic cutaneous fistula following pancreatoduodenectomy, in whom successful treatment was achieved through percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis. Non-surgical percutaneous intervention may be a useful modality to treat an intractable external pancreatic fistula in accordance with the underlying cause of fistula formation.