Year 2021 / Volume 113 / Number 3
Letter
An extremely uncommon complication of acute pancreatitis: spontaneous pancreatic cutaneous fistula

222

DOI: 10.17235/reed.2020.7121/2020

Paula Fernández Álvarez, Belén Maldonado Pérez, Ángel Caunedo Álvarez,

Abstract
We report the case of a 67-year-old male who was referred to our hospital due to severe abdominal pain and fever. His past medical history included a total gastrectomy surgery for stomach cancer. Abdominal examination showed intense pain on deep palpation in the epigastric region. Laboratory test revealed elevated C-reactive protein (235 mg/l) and amylase (1,789 U/l). Computerized tomography reported a pancreatic collection with the presence of air bubbles inside and areas of necrotic pancreatic parenchyma.
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References
1. Banks PA, Freeman ML, Practice Parameters Committee of the American College of Gastroenterology. Practice guidelines in acute pancreatitis. Am J Gastroenterol 2006; 101:2379.
2. Molina Infante J, Núñez Martínez O, Ponferrada Díaz G, Borrego Rodriguez GM. Acute pancreatitis with fluid collections complicated with cutaneous fistula. An Med Interna (Madrid). 2003; 20 (8): 413-415.
3. Radojkovic M, Kovacevic P, Radojkovic D. Pancreatic pseudocyst with spontaneous cutaneous fistulization. Medicine (Baltimore). 2018 Aug; 97(35).
4. Hesse U, Ysebaert D, de Hemptinne b. Role of somatostatin-14 and its analogues in the management of gastrointestinal fistulae: clinical data. Gut 2001 Dec; 49 (4): 11-21.
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Fernández Álvarez P, Maldonado Pérez B, Caunedo Álvarez Á. An extremely uncommon complication of acute pancreatitis: spontaneous pancreatic cutaneous fistula. 7121/2020


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Publication history

Received: 10/04/2020

Accepted: 11/05/2020

Online First: 19/11/2020

Published: 08/03/2021

Article revision time: 26 days

Article Online First time: 223 days

Article editing time: 332 days


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