Pancreatocolonic fistula due to severe acute pancreatitis: imaging findings
De Backer, A.I.; Mortelé, K.J.; Vaneerdeweg, W.; Ros, P.R.
Jbr-Btr Organe de la Societe Royale Belge de Radiologie 84(2): 45-47
2001
ISSN/ISBN: 0302-7430 PMID: 11374629 Document Number: 537945
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.