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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Main Authors: Tan Jih Huei, Henry Tan Chor Lip, Chow Sing Thou, Yuzaidi Mohamad, Rizal Imran Alwi
Format: Article
Language:English
Published: Korean Society of Traumatology 2020-03-01
Series:Journal of Trauma and Injury
Subjects:
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.
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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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