Infected Pancreatic Pseudocysts with Colonic Fistula Formation Successfully Managed by Endoscopic Drainage Alone: Report of Two Cases

Overview

Journal Am J Gastroenterol

Specialty Gastroenterology

Date 2000 Aug 5

PMID 10925992

Citations 12

Authors

D A Howell

R M Dy

W H Gerstein

B L Hanson

B P Biber

Affiliations

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Abstract

Fistulization of pancreatic pseudocysts into surrounding viscera is a well-known phenomenon and usually requires surgical management. We report two cases of pancreatic pseudocysts that developed spontaneous fistulas to the colon with resulting fever and abdominal pain. The patients were managed nonoperatively with a combination of endoscopic drainage and antibiotics, and their pseudocysts and fistulas resolved. The patients have remained symptom-free for a mean of 14 months of follow-up.

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