Author(s)

Kei Horino, Hiroshi Takamori, Yoshiaki Ikuta, Akira Chikamoto, Takatoshi Ishiko, Toru Beppu, Hideo Baba

Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.

Pancreatic pseudocyst-portal vein fistulae are extremely rare, and cause serious complications, including life-threatening sepsis. We report a 57-year-old man with pancreatic pseudocyst who was admitted to our hospital complaining of prolonged abdominal pain. A pancreatic duct tube was placed into the main pancreatic duct, as the pseudocyst was communicated to the pancreatic duct. He fell into septic shock state two weeks later. An ultrasonography-guided percutaneous drainage of the pseudocyst was performed. The amylase level of drained pus was 80,000 U/l. Pancreatic pseudocyst-portal vein fistula was demonstrated by fisterography. Symptoms disappeared immediately after drainage. No recurrence was observed afterward.

Pancreatic Pseudocyst; Fistula; Pancreatitis; Portal Vein; Drainage

Horino, K. , Takamori, H. , Ikuta, Y. , Chikamoto, A. , Ishiko, T. , Beppu, T. and Baba, H. (2012) Pancreatic pseudocyst-portal vein fistula. Open Journal of Gastroenterology, 2, 143-144. doi: 10.4236/ojgas.2012.23028.