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Pancreatocolonic fistula due to severe acute pancreatitis: imaging findings
A I De Backer1, K J Mortelé, W Vaneerdeweg
1Department of Radiology, Algemeen Centrumziekenhuis Antwerpen, Belgium.
Abstract:
Colonic involvement is an uncommon but potentially lethal complication of severe acute pancreatitis. The spectrum of colonic complications includes localized ileus with "pseudo-obstruction", obstruction, necrosis, hemorrhage, fistula, and ischemic colitis. We report on a patient who developed pancreatocolonic fistulization in the course of protracted severe acute pancreatitis. Emphasis is made on the computed tomographic and water soluble contrast enema findings.
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