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  • Title: [Pancreatic-portal fistula. A rare complication of chronic pancreatitis].
    Author: Rabache A, Crinquette JF, Vermersch A, Cuingnet P, Maunoury V, Hanon D, Lescut J.
    Journal: Gastroenterol Clin Biol; 1994; 18(12):1138-41. PubMed ID: 7750688.
    Abstract:
    We report a 40-year-old patient with complication of chronic pancreatitis as a pancreatico-portal fistula. The patient had subcutaneous nodular fat necrosis of the lower limbs resembling Weber-Christian syndrome, and amylasic ascitis. The diagnosis was established with retrograde endoscopic cholangio-pancreatography which found three pancreatic pseudocysts and a communication with the portal venous system. A portal thrombosis with cavernum was studied with color echo-Doppler and arteriography. The echo-endoscopy was performed for the first time in this complication and its significance estimated. The evolution was quickly and spontaneously favourable. That is a very rare complication of chronic pancreatitis and an expectant conservative management can be adopted.
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