Choledochoduodenal Fistula: Rare Complication of a Pancreatic Pseudocyst

Chemoradiation is one of the therapeutic options in palliative treatment of locally advanced pancreatic adenocarcinoma, with a well-known safety profile. In this case report, we describe the treatment-related occurrence of an intrasplenic pancreatic pseudocyst which was successfully removed by gastrocystic drainage. This rare complication should be considered in the follow-up and clinical management of patients, particularly if left-sided complaints occur.

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Infected hemorrhagic pancreatic pseudocyst: A rare complication of acute pancreatitis

10.5348/100009g01dd2019cr ◽

2020 ◽

Keyword(s):

Acute Pancreatitis ◽

Pancreatic Pseudocyst ◽

Rare Complication

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Intrasplenic Pancreatic Pseudocyst: A Rare Complication of Acute Pancreatitis

The American Journal of Gastroenterology ◽

10.14309/00000434-201310001-00837 ◽

2013 ◽

Vol 108 ◽

pp. S252

Author(s):

Asim Shuja ◽

Ashley Davidoff ◽

Bhavesh Shah

Keyword(s):

Acute Pancreatitis ◽

Pancreatic Pseudocyst ◽

Rare Complication

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Choledochoduodenal Fistula With Cholangitis and Duodenal Obstruction: A Rare Complication of Pancreatic Cancer Managed With Endoscopic Therapy

The American Journal of Gastroenterology ◽

10.14309/00000434-201410002-02142 ◽

2014 ◽

Vol 109 ◽

pp. S624

Author(s):

Wajeeh Salah ◽

Douglas Faigel ◽

Edwyn M Harrison ◽

Rahul Pannala

Keyword(s):

Pancreatic Cancer ◽

Duodenal Obstruction ◽

Endoscopic Therapy ◽

Rare Complication ◽

Choledochoduodenal Fistula

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Spontaneous Hepaticoduodenal and Choledochoduodenal Fistula Mimicking Duodenal Ulcer Perforation, a Very Rare Complication of Transarterial Chemoembolization

Case Reports in Gastroenterology ◽

10.1159/000369248 ◽

2015 ◽

Vol 9 (1) ◽

pp. 68-73

Author(s):

Varayu Prachayakul ◽

Pitulak Aswakul

Keyword(s):

Transarterial Chemoembolization ◽

Anastomotic Stricture ◽

Rare Complication ◽

Therapeutic Interventions ◽

Endoscopic Retrograde ◽

Clinical Sepsis ◽

Endoscopic View ◽

Choledochoduodenal Fistula ◽

Duodenal Ulcer Perforation ◽

Tace Procedure

Spontaneous bilo-enteric fistula is a rare complication following surgery or some therapeutic interventions such as transarterial chemoembolization (TACE). The present case was a young man, a known case of chronic hepatitis B with multiple recurrent hepatocellular carcinoma, who presented with clinical sepsis and jaundice. Computed tomography showed dilated proximal left intrahepatic ducts which suspected anastomotic stricture. He underwent endoscopic retrograde cholangiopancreatography, but the endoscopic view showed a deep ulcer covered by yellowish debris tissue. After re-evaluation it was found to be hepaticoduodenostomy and choledochoduodenostomy tracts. In the present case the fistula was suspected to be related to a previous TACE procedure.

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