Pancreatic-portal fistula and subcutaneous fat necrosis
Delcenserie, R.; Bental, A.; Goll, A.; Butel, J.; Dupas, J.L.
Gastroenterologie Clinique et Biologique 18(12): 1132-1137
1994
ISSN/ISBN: 0399-8320 PMID: 7750687 Document Number: 437236
The pancreaticoportal fistula is a very uncommon complication of pancreatic diseases, mostly occurring in the course of chronic pancreatitis. From 2 findings of pancreaticoportal fistula and a literature review, we emphasize in this study the frequency of subcutaneous fat necrosis during pancreaticoportal fistula, the pathogenic role of the pancreaticoportal fistula to induce a subcutaneous fat necrosis by means of a massive enzyme release in the systemic circulation, the protective role of portal thrombosis, and finally the diagnostic and therapeutic value of endoscopic retrograde cholangio-pancreatography in pancreaticoportal fistula.