Colonic Fistula Secondary to Acute Pancreatitis: A Case Report

Abstract

Colonic fistula is rare after acute pancreatitis but is associated with a high mortality. In the current study, we describe a case of colonic fistula in a 39-year-old woman secondary to severe acute pancreatitis. Abdominal CT showed the presence of pancreatic pseudocysts. After percutaneous drainage was performance, yellow feculent liquid fluided from the drainage tubes. Subsequently, fistulography via drainage tube showed the presence of a colonic fistula into the descending colon. She was successfully treated by a colectomy for colonic fistula and drainage of the pancreatic pseudocysts. Although Colonic fistula is an infrequent complication of pancreatitis, clinicians should be aware of it because of its high mortality.