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Chow Sing Thou 1 Article
The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy
Tan Jih Huei, Henry Tan Chor Lip, Chow Sing Thou, Yuzaidi Mohamad, Rizal Imran Alwi
J Trauma Inj. 2020;33(1):43-47.   Published online March 30, 2020
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AbstractAbstract PDF

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.



Citations to this article as recorded by  
  • Successful percutaneous transgastric diversion of a chronic post-operative combined pancreaticocutaneous and gastrocutaneous fistula using a snare-target technique: A case report
    Katherine J. Li, Ken Leslie, Derek W. Cool
    International Journal of Surgery Case Reports.2021; 80: 105685.     CrossRef

J Trauma Inj : Journal of Trauma and Injury