Year 2021 / Volume 113 / Number 2
Digestive Diseases Image
A rare postoperative complication after a step-up approach for walled-off pancreatic necrosis: locating a difficult digestive duct fistula

145-146

DOI: 10.17235/reed.2020.7140/2020

Yongliang Tang, Haidong Xiang, Hongming Liu,

Abstract
We present the case of a gallbladder-abscess cavity fistula in a 46-year-old male with walled-off pancreatic necrosis (WOPN). A step-up approach was used for two months, which consisted of a minimally invasive necrosectomy followed by postoperative percutaneous lavages with two drainage tubes. The range of the abscess was significantly reduced, as shown by the computerized tomography scan (Fig. 1). However, a substantial amount of odorless, pale yellow, feculent fluid (almost 1,000 ml daily) was discharged from the drainage tubes over the following days, without lavages.
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References
1. Rana SS. An overview of walled-off pancreatic necrosis for clinicians. Expert Rev Gastroenterol Hepatol 2019;13(4):331-343. DOI: 10.1080/17474124.2019.1574568
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Tang Y, Xiang H, Liu H. A rare postoperative complication after a step-up approach for walled-off pancreatic necrosis: locating a difficult digestive duct fistula. 7140/2020


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Publication history

Received: 15/04/2020

Accepted: 29/06/2020

Online First: 24/11/2020

Published: 08/02/2021

Article revision time: 67 days

Article Online First time: 223 days

Article editing time: 299 days


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