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Spontaneous closure of a persistent post-traumatic pancreatic fistula in a child: incidental therapeutic effect of ERCP

Thambidorai CR 1 , Ismail S 2 , Chan KY 3 , Haron A 4 , Zulfiqar A 5

Affiliations 

  • 1 C R Thambidorai, FRACS. Department of Surgery, Faculty of Medicine, University Kebangsaan Malaysia Hospital, 56000, Cheras, Koala Lumpur
  • 2 S Ismail, MS. Department of Surgery, Faculty of Medicine, University Kebangsaan Malaysia Hospital, 56000, Cheras, Koala Lumpur
  • 3 K Y Cha, MRCSEd. Department of Surgery, Faculty of Medicine, University Kebangsaan Malaysia Hospital, 56000, Cheras, Koala Lumpur
  • 4 A Haron, MS. Department of Surgery, Faculty of Medicine, University Kebangsaan Malaysia Hospital, 56000, Cheras, Koala Lumpur
  • 5 A Zulfiqar, MMed. Department of Radiology, Faculty of Medicine, University Kebangsaan Malaysia Hospital, 56000, Cheras, Koala Lumpur
Med J Malaysia, 2004 Mar;59(1):120-2.
PMID: 15535349

Abstract

A child with a post-tramatic pancreatic pseuodocyst developed pancreatic fistula, following percutaneous drainage of the cyst. The fistula output was about 120ml/day and lasted for a month. A diagnostic ERCP revealed main pancreatic duct disruption. The fistula output ceased over the next two days following the ERCP. The patient has been well for the past four years. This patient's immediate recovery after ERCP could possibly be due to dislodgement of a mucus plug by the contrast injected during ERCP. Such a mechanism can explain the previous sporadic reports of spontaneous cure of persistent pancreatic fistulae in children.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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