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Case report


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

Mina S MakaryEdward L GayouDouglas KyrouacZarine K Shah
Department of Radiology, The Ohio State University Medical Center, Columbus 43210, Ohio, USA
Date of Submission: 02-Nov-2017, Date of Acceptance: 01-Jan-2018, Date of Web Publication: 30-Jan-2018.
Corresponding Author:
Corresponding Author

Mina S Makary

Department of Radiology, The Ohio State University Wexner Medical Center, 395 W 12th Avenue, Columbus 43210, Ohio, USA.
E-mail: mina.makary@osumc.edu

Corresponding Author:
Corresponding Author

Mina S Makary

Department of Radiology, The Ohio State University Wexner Medical Center, 395 W 12th Avenue, Columbus 43210, Ohio, USA.
E-mail: mina.makary@osumc.edu

DOI: 10.4103/jcis.JCIS_84_17 Facebook Twitter Google Linkedin

ABSTRACT


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.
Keywords: Complications, pancreaticoportal fistula, pancreatitis, portal vein, pseudocyst

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