Korean Journal of Gastrointestinal Endoscopy 2000;20(3): 231-234.
췌관 결석에 동반된 췌담관 누공 1예 ( A Case of a Pancreaticobiliary Fistula Accompanied by Pancreatic Duct Stones )
나비석(Bi Seok Na),심선진(Son Jin Sym),손정민(Jeoung Min Son),이석수(Suk Sue Lee),김현영(Hyun Young Kim),전병민(Byung Min Jun),이승환(Seung Hwan Lee),유교상(Kyo Sang Yoo),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),민영일(Young Il Min)
Abstract
A Pancreaticobiliary fistula is a rare complication of acute necrotizing pancreatitis or pancreatic abscess. One case is herein reported of pancreaticobiliary fistula that was found following removal of pancreatic duct stones by extracorporeal shock-wave lithotripsy and endoscopic sphincterotomy. The patient was a 53-year old woman who was admitted with epigastric pain and fever. Endoscopic retrograde pancreatography revealed multiple stones in the main pancreatic duct. Pus from the pancreatic duct was drained through the major papilla during cannulation. On balloon cholangiogram obtained after removal of the stones, a direct fistulous connection between the main pancreatic duct and distal common bile duct was noted. It is speculated that pancreatic abscess or mechanical compression of pancreatic duct stones may contribute to the destruction of the intrapancreatic bile duct, which leads to the formation of a pancreaticobiliary fistula.
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