Pseudoquiste pancreático fistulizado a vía biliar principal

Abstract

Fistula formation between a pancreatic pseudocyst and the biliary tree Introduction: Fistula formation between a pancreatic pseudocyst and the biliary tree is uncommon. Clinical case: We report a 71 years old female who developed a pancreatic pseudocyst secondary to a biliary acute pancreatitis. After eight weeks of evolution, the patient was operated due to the size of the pseudocyst and the presence of symptoms. During the operation, a fistula between the cyst and the biliary tree was found. It was successfully excluded performing a choledochostomy with a Kehr tube and pseudocyst drainage. The patient had an uneventful postoperative evolution and imaging studies at the moment of discharge, one month after the operation, did not show a residual cavity.

Pancreatic pseudocyst with fistula to the dilated common bile duct: Mimmicking choledocal cyst?

“…The formation of a pancreatic pseudocyst originates from inflammation or trauma of the pancreatic gland, [1][2][3][4][5][6] this lesion can establish a fistula with neighboring organs within which the stomach, duodenum and colon are the most frequent while less frequent would be within the esophagus and very rarely in the common bile duct, we have only found 19 cases in the bibliographic search. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] These fistulas usually cause complications such as: pain, cholangitis and hemorrhages that can lead to the death of the patient.…”