Pancreatico-Colonic Fistula after Acute Necrotizing Pancreatitis. Diagnosis with Spiral CT Using Rectal Water Soluble Contrast Media

Davut Tüney, Ersan Altun, Afsar Barlas, Cumhur Yegen

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Abstract

Context Colonic complications are rare but lethal events in acute pancreatitis. Case report We report the case of a 42-yearold man who suffered from a pancreaticocolonic fistula following a necrosectomy for severe pancreatitis; the fistula was demonstrated by spiral computed tomography using rectal water soluble contrast media.Conclusion Computed tomography with rectal contrast detects pancreatico-colonic fistulas.

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