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Year 2025 / Volume 117 / Number 12
Letter

A rare case of pancreatic pseudocyst-portal vein fistula in a patient with chronic pancreatitis

762-763

DOI: 10.17235/reed.2024.10705/2024

Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Bruno Peixe,

Abstract

A 60-year-old female with chronic pancreatitis and a history of splenectomy presented with epigastric pain, vomiting, and asthenia. Elevated pancreatic enzymes and CT imaging revealed a pseudocyst in the pancreatic head with suspected communication to the portal vein, confirmed by MR Cholangiopancreatography and endoscopic ultrasound (EUS). EUS-guided puncture revealed high amylase levels. Given her manageable symptoms, a conservative approach was adopted, leading to symptomatic relief and pseudocyst size reduction. Pancreatic pseudocyst-portal vein fistula is a rare pancreatitis complication, challenging to diagnose, with no gold-standard treatment. Endoscopic stenting offers a promising alternative to surgery for severe cases.

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Barros S, Relvas L, Carvalho I, Vaz A, Peixe B. A rare case of pancreatic pseudocyst-portal vein fistula in a patient with chronic pancreatitis. 10705/2024

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Publication history

Received: 04/08/2024

Accepted: 28/08/2024

Online First: 13/09/2024

Published: 12/12/2025

Article Online First time: 40 days

Article editing time: 495 days

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