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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


GONZALEZ SALCEDO, Joel; PITA ARMENTEROS, Luis; PEREZ JOMARRON, Emilio  and  MORALES DIAZ, Ignacio. Pancreatogastrocutaneous fistula: a discussed case presentation. Rev Cubana Cir [online]. 2010, vol.49, n.1. ISSN 0034-7493.

This is the case of a heavy drinker patient aged 39, operated on with urgency due to acute appendicitis; during the operation we found a necrotic-hemorrhagic acute pancreatitis and extensive peritonitis. A programmed peritoneal lavage in wall by plans; afterwards he had fever and it was necessary to drain a subaponeurotic abscess. There was a weight loss and a suppuration by residual orifice in drainage made. A catheter was passed through the orifice for irrigation, secretion cleared and then a fluid of possible intestinal origin flowed. The fistulography showed the existence of a communication between the stomach and the left hypochondrium, obliged us to a reintervention. The patient suffered a hemoperitoneum, and thus a second laparoscopy was performed to carry out a splenectomy in the immediate postoperative period. Patient felt well although there was weight loss, tachycardia without fever and computed axial tomography (CAT) showed a intracavitary collection in left hypochondrium, draining by transparietal route.

Keywords : Pancreatic fistula; gastric fistula; fistula; postoperative complication.

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