Pancreatic gas: indication of pancreatic fistula

AJR. American Journal of Roentgenology
E S AlexanderM P Federle

Abstract

Although pancreatic gas may be associated with pancreatic abscess, it was found that pancreatic gas indicates the presence of a fistula rather than abscess alone. Of 10 patients with pancreatic gas on computed tomography, fistulas were present in all. Fistulization results from pancreatic pseudocyst rupture or as a complication of phlegmonous pancreatitis. In most cases the fistula does not adequately decompress the pseudocyst or pancreatic phlegmon. In addition, fistulas may predispose to sepsis and hemorrhage. It is important to identify the presence of a pancreatic fistula since patient management may be altered.

Citations

Feb 8, 2006·Journal of Hepato-biliary-pancreatic Surgery·Masaru KoizumiUNKNOWN JPN
Jan 16, 2007·Digestive Diseases and Sciences·Hye Jung Yeom, Sun Young Yi
Oct 11, 2012·World Journal of Gastroenterology : WJG·Yun Ji KimSu Yeon Lee
Feb 1, 1996·Australasian Radiology·M McCloskey, V H Low
Jun 10, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Atakan SezerHasan Umit
Apr 10, 2010·Journal of Medical Imaging and Radiation Oncology·T Singh, R Mendelson
Dec 17, 2009·Journal of Hepato-biliary-pancreatic Sciences·Seiki KiriyamaMorihisa Hirota
Mar 1, 1990·European Journal of Radiology·C PérezJ Puig
Jun 8, 2001·The Surgical Clinics of North America·R Neff

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