A novel approach using liquid embolic agent for the treatment of pancreatic-cutaneous fistulas: Report of a case

Int J Surg Case Rep. 2015:6C:157-9. doi: 10.1016/j.ijscr.2014.10.082. Epub 2014 Dec 12.

Abstract

Pancreatic fistula formation remains one of the most dreadful complications after pancreaticoduodenectomies, resulting in extended hospital stays, increased healthcare costs, along with significantly increased morbidity and mortality. Little is mentioned in the literature about the use of percutaneous techniques to resolve this complication when conservative treatments fail. Thus, we developed a novel technique for treating pancreatic-cutaneous fistulas that develop post-pancreaticoduodenectomy. This work describes a novel approach of using a liquid embolic agent to treat a high-output pancreatic-cutaneous fistula after a Whipple procedure, which to the best of our knowledge after extensive literature searches, has not been performed before.

Keywords: Embolization; Minimally invasive treatment; Pancreatic fistula; Post-operative pancreatic fistula.