Colitis-Induced Pancreatic Fistula with Pancreatic Ascites.

ABSTRACT:

Introduction

Although cases of severe pancreatitis causing fistula formation into the colon have been documented, the reverse process of colitis causing a pancreatic fistula remains undocumented.

Case presentation

We present the case of a 79-year-old male with severe colitis resulting in perforation and pericolonic abscess formation adjacent to the pancreas, which resulted in an internal pancreatic fistula and pancreatic ascites. After 2 paracenteses, our patient ultimately underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and pancreatic duct stent placement. The patient clinically improved and was ultimately discharged.

Conclusion

Follow-up ERCP was performed 2 months after discharge and showed no contrast extravasation, illustrating

SUBMITTER: Winrich E 

PROVIDER: S-EPMC11737884 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature