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Not Your Everyday Case of Acute Pancreatitis: A Rare Complication of a Common Diagnosis

Year: 2013

Type: article

Abstract: Pancreaticopericardial fistula is an extremely rare complication of chronic pancreatitis and is virtually unheard of in the setting of acute pancreatitis. A 67-year-old male presented with acute pancreatitis complicated by pancreaticopericardial fistulization. The patient's initial presentation was consistent with tamponade physiology. Computed tomography demonstrated a gas-containing pericardial fluid llection extending into the anterior upper abdomen and ill-defined fluid collections within the pancreas representing necrosis with probable infection. Surgical exploration of the window revealed a pancreatic pericardial fistula and an infected window. The patient ultimately passed away from septic shock. We present this rare complication of pancreatitis and review the relevant literature.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.2013.15

Authors: Parth J. Parekh, Douglas Howerton, David A. Johnson

Institution: Eastern Virginia Medical School

Language: English

Topic: Pancreatitis Pathology and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2139512997

FWCI: 0.897

Cites: 13

Cited by: 5

Related to: 10