Abstract
We present a case report of a patient with two large pancreatic abscesses and an associated colonic fistula originating from acute gallstone pancreatitis, which we treated endoscopically. The common bile duct stones were extracted after a papillotomy. The abscess in the pancreatic head was drained into the duodenum and the one in the pancreatic tail irrigated through a nasopancreatic catheter using normal saline mixed with gentamycin. The colonic fistula was finally obliterated using a two-component fibrin glue.
MeSH terms
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Abscess / diagnostic imaging
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Abscess / therapy*
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Cholelithiasis / complications*
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Cholelithiasis / diagnostic imaging
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Colonic Diseases / complications
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Colonic Diseases / diagnostic imaging
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Colonic Diseases / therapy
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Drainage / methods
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Endoscopy, Digestive System*
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Female
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Fibrin Tissue Adhesive / therapeutic use
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Humans
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Intestinal Fistula / complications
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Intestinal Fistula / diagnostic imaging
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Intestinal Fistula / therapy
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Middle Aged
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Pancreatic Diseases / diagnostic imaging
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Pancreatic Diseases / therapy*
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Pancreatitis / complications*
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Pancreatitis / diagnostic imaging
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Radiography
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Therapeutic Irrigation / methods