Related Experiment Video
Updated: May 6, 2026
14:45
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
13.7K
Pancreatic duct-portal vein fistula
1Gastroenterology Service, Walter Reed Army Medical Center, Washington, D.C.
Gastroenterology
|October 1, 1989
Summary
A rare pancreatic duct-portal vein fistula, linked to chronic pancreatitis and infections, spontaneously closed. This case highlights non-surgical recovery in complex pancreatic conditions.
Area of Science:
- Gastroenterology
- Vascular Medicine
- Radiology
Background:
- Pancreatic duct-portal vein fistula is a rare complication.
- Chronic pancreatitis can lead to severe systemic issues.
- Diagnosis requires advanced imaging techniques.
Observation:
- A patient presented with chronic pancreatitis, recurrent gram-negative bacteremia, and subcutaneous fat necrosis.
- Endoscopic retrograde cholangiopancreatography (ERCP) revealed a pancreatic duct-portal vein fistula.
- Computed tomography and angiography confirmed the fistula's presence.
Findings:
- The fistula was associated with chronic pancreatitis but not pancreatic pseudocyst.
- Medical complications prevented surgical intervention.
- The patient improved with supportive care, and follow-up ERCP showed spontaneous fistula closure.
Implications:
- This case demonstrates that non-surgical management can be effective for pancreatic duct-portal vein fistulas.
- Spontaneous closure of such fistulas is possible, even in complicated cases.
- Understanding these rare fistulas is crucial for managing complex pancreatitis patients.
More Related Videos
04:31Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
Published on: August 29, 2025
753
10:09Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
Published on: March 17, 2026
440
Related Concept Videos
01:21Hepatic Portal System
8.2K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
8.2K
01:24Chronic Pancreatitis I: Introduction
918
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
918
01:22Portal Hypertension
58
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
58
01:25Acute Pancreatitis I: Introduction
31
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
31
01:25Chronic Pancreatitis I: Introduction
29
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80%...
29
01:21Chronic Pancreatitis II: Pathophysiology
36
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
36