Delayed pancreatic fistula after pancreaticoduodenectomy. A case report

Yasuhiro Ito, Tomoyuki Irino, Tomohisa Egawa, Shinobu Hayashi, Atsushi Nagashima

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Abstract

Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.

Original languageEnglish
Pages (from-to)410-412
Number of pages3
JournalJournal of the Pancreas
Volume12
Issue number4
Publication statusPublished - 2011 Jul 1
Externally publishedYes

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Keywords

  • Pancreatic fistula
  • Pancreaticoduodenectomy
  • Postoperative complications

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

Ito, Y., Irino, T., Egawa, T., Hayashi, S., & Nagashima, A. (2011). Delayed pancreatic fistula after pancreaticoduodenectomy. A case report. Journal of the Pancreas, 12(4), 410-412.