Abstract
A patient was found to have fistulization of a pancreatic pseudocyst with the common bile duct. Resolution of the pseudocyst and the attendant biliary obstruction was achieved with percutaneous biliary drainage alone. The clinical and radiological features of this case are herein presented along with a brief review of the subject.
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Prinz RA, Greenlee HB. Pancreatic duct drainage in chronic pancreatitis.Hepatogastroenterology 1990;37:295–300
Greenlee HB. The role of surgery for chronic pancreatitis and its complications.Surg Ann 1983;15:283–305
Littenberg G, Afroudakis A, Kaplowitz N. Common bile duct stenosis from chronic pancreatitis: a clinical and pathological spectrum.Medicine (Baltimore) 1979;58:385–412
Warshaw AL, Rattner DW. Facts and fallacies of common bile duct obstruction by pancreatic pseudocysts.Ann Surg 1980;192:33–37
Skellenger ME, Patterson D, Foley NT, Jordan PH. Cholestasis due to compression of the common bile duct by pancreatic pseudocysts.Ann J Surg 1983;145:343–348
Nealon WH, Townsend CM, Thompson JC. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) in patients with pancreatic pseudocyst associated with resolving acute and chronic pancreatitis.Ann Surg 1989;209:532–538
O'Connor M, Kolars J, Ansel H, Silvis S, Vennes J. Preoperative cholangiopancreatography in the surgical management of pancreatic pseudocysts.Am J Surg 1986;151:18–23.
Clements JL, Bradley EL, Eaton SB. Spontaneous internal drainage of pseudocysts.AJR 1976;126:985–991
Ellenbogen KA, Cameron JL, Cocco AE, Gayler BW, Hutcheon DF. Fistulous communication of a pseudocyst with the common bile duct: demonstration by endoscopic retrograde cholangiopancreatography.Johns Hopkins Med J 1981;149:110–111
Dalton WE, Lee HM, Williams GM, Hume DM. Pancreatic pseudocyst causing hemobilia and massive gastrointestinal hemorrhage.Am J Surg 1970, 120:106–107
Ro JO, Yoon BH. Pancreatic pseudocyst as a cause of gastrointestinal bleeding and hemobilia.Am J Gastroenterol 1976;66:287–291
Sankaran S, Walt AJ: The natural and unnatural history of pancreatic pseudocysts.Br J Surg 1975;62:37–44
Gadacz TR, Lillemoe K, Zinner M, Merrill W. Common bile duct complications of pancreatitis evaluation and treatment.Surgery 1983;93:235–242
Bresler L, Vidrequin A, Poussot D et al. Fistulous communication of a pancreatic pseudocyst with the common bile duct: demonstration by operative cholangiogram (Letter).Am J Gastroenterol 1989;84:835–836
DeVanna T, Dunne MG, Haney PJ. Fistulous communication of pseudocyst to the common bile duct: a complication of pancreatitis.Pediatr Radiol 1983;13:344–345
Torres WE, Evert MB, Baumgartner BR, Bernardino ME. Percutaneous aspiration and drainage of pancreatic pseudocysts.AJR 1986;147:1007–1009
vanSonnenberg E, Wittich GR, Casola G et al. Percutaneous drainage of infected and noninfected pancreatic pseudocysts: experience in 101 cases.Radiology 1989;170:757–761
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Hauptmann, E.M., Wojtowycz, M., Reichelderfer, M. et al. Pancreatic pseudocyst with fistula to the common bile duct: Radiological diagnosis and management. Gastrointest Radiol 17, 151–153 (1992). https://doi.org/10.1007/BF01888533
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DOI: https://doi.org/10.1007/BF01888533