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KMID : 1144620200330010043
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Journal of Trauma and Injury
2020 Volume.33 No. 1 p.43 ~ p.47
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The Management of Pancreatic Fistula Complicated by Gastric Fistulation Following Emergency Splenectomy
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Huei Tan Jih
Lip Henry Tan Chor
Thou Chow Sing
Mohamad Yuzaidi
Alwi Rizal Imran
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Abstract
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Pancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a blunt mechanism. He underwent emergency splenectomy for splenic injury and developed a pancreatic fistula as a complication. A percutaneous endoscopic procedure was performed to drain the fistula, after which he developed a pancreatogastric fistula as a further complication. A double-pigtail stent was inserted via gastroscopy into the fistula tract to allow internal drainage of the pancreatic collection into the stomach cavity. When a pancreatic fistula is complicated by gastric fistulation, endoscopic stenting of the pancreatogastric fistula tract for internal drainage is an effective treatment option.
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KEYWORD
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Pancreas, Splenectomy, Gastric, Fistula
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