Pancreatico-psoas fistula: A rare complication of acute pancreatitis

Abstract

The authors present a case of post endoscopic retrograde cholangio-pancreatography acute pancreatitis complicated by a pancreaticopsoas fistula, as well as reviewing similar previously published cases. The patient had a fl uctuating clinical course over 4 months, developing multiple life-threatening complications including portal vein thrombosis, gastrointestinal bleeding, aspiration pneumonia and acute kidney injury on a background of chronic kidney disease. The authors followed the long-held surgical principle of draining sepsis and avoiding surgical intervention. The fi stula dried up with conservative management and time also allowed portal venous collateral formation with resolution of his ascites. Copyright 2012 BMJ Publishing Group. All rights reserved.