The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy
Pancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a...
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Korean Society of Traumatology
2020-03-01
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Series: | Journal of Trauma and Injury |
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Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2019-036.pdf |
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author | Tan Jih Huei Henry Tan Chor Lip Chow Sing Thou Yuzaidi Mohamad Rizal Imran Alwi |
author_facet | Tan Jih Huei Henry Tan Chor Lip Chow Sing Thou Yuzaidi Mohamad Rizal Imran Alwi |
author_sort | Tan Jih Huei |
collection | DOAJ |
description | Pancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a blunt mechanism. He underwent emergency splenectomy for splenic injury and developed a pancreatic fistula as a complication. A percutaneous endoscopic procedure was performed to drain the fistula, after which he developed a pancreatogastric fistula as a further complication. A double-pigtail stent was inserted via gastroscopy into the fistula tract to allow internal drainage of the pancreatic collection into the stomach cavity. When a pancreatic fistula is complicated by gastric fistulation, endoscopic stenting of the pancreatogastric fistula tract for internal drainage is an effective treatment option. |
format | Article |
id | doaj-art-e25d1a18199843b1b6168a35092eaa0b |
institution | Kabale University |
issn | 1738-8767 2287-1683 |
language | English |
publishDate | 2020-03-01 |
publisher | Korean Society of Traumatology |
record_format | Article |
series | Journal of Trauma and Injury |
spelling | doaj-art-e25d1a18199843b1b6168a35092eaa0b2025-02-03T11:12:22ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-03-01331434710.20408/jti.2019.0361009The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency SplenectomyTan Jih Huei0Henry Tan Chor Lip1Chow Sing Thou2Yuzaidi Mohamad3Rizal Imran Alwi4 Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, MalaysiaPancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a blunt mechanism. He underwent emergency splenectomy for splenic injury and developed a pancreatic fistula as a complication. A percutaneous endoscopic procedure was performed to drain the fistula, after which he developed a pancreatogastric fistula as a further complication. A double-pigtail stent was inserted via gastroscopy into the fistula tract to allow internal drainage of the pancreatic collection into the stomach cavity. When a pancreatic fistula is complicated by gastric fistulation, endoscopic stenting of the pancreatogastric fistula tract for internal drainage is an effective treatment option.http://www.jtraumainj.org/upload/pdf/jti-2019-036.pdfpancreassplenectomygastricfistula |
spellingShingle | Tan Jih Huei Henry Tan Chor Lip Chow Sing Thou Yuzaidi Mohamad Rizal Imran Alwi The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy Journal of Trauma and Injury pancreas splenectomy gastric fistula |
title | The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy |
title_full | The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy |
title_fullStr | The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy |
title_full_unstemmed | The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy |
title_short | The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy |
title_sort | management of pancreatic fistula complicated by gastric fistulation following emergency splenectomy |
topic | pancreas splenectomy gastric fistula |
url | http://www.jtraumainj.org/upload/pdf/jti-2019-036.pdf |
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