TY - JOUR
T1 - Delayed pancreatic fistula after pancreaticoduodenectomy. A case report
AU - Ito, Yasuhiro
AU - Irino, Tomoyuki
AU - Egawa, Tomohisa
AU - Hayashi, Shinobu
AU - Nagashima, Atsushi
PY - 2011/7/1
Y1 - 2011/7/1
N2 - 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.
AB - 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.
KW - Pancreatic fistula
KW - Pancreaticoduodenectomy
KW - Postoperative complications
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M3 - Article
C2 - 21737906
AN - SCOPUS:79960211525
VL - 12
SP - 410
EP - 412
JO - Journal of the Pancreas
JF - Journal of the Pancreas
SN - 1590-8577
IS - 4
ER -