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CASE REPORT
Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 4

Pancreaticoportal Fistula Formation as a Consequence of Recurrent Acute Pancreatitis: Clinical and Imaging Considerations


Department of Radiology, The Ohio State University Medical Center, Columbus 43210, Ohio, USA

Correspondence Address:
Dr. Mina S Makary
Department of Radiology, The Ohio State University Wexner Medical Center, 395 W 12th Avenue, Columbus 43210, Ohio
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.224247

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A pancreatic-portal vein fistula (PPVF) is an extremely rare complication of pancreatitis. In this report, we present a patient with a PPVF in the setting of recurrent pancreatitis and portal vein thrombosis diagnosed by cross-sectional imaging and endoscopic retrograde cholangio-pancreatography, who responded to medical management and anticoagulation. A critical review of this disease process is explored to highlight pathology, imaging characteristics, and essential alternative diagnostic considerations. We also discuss potential complications and current treatment strategies. PPVFs pose a unique diagnostic challenge and awareness of its clinical presentation can further improve patient outcomes.


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