Acute pancreatic graft fistula and peripancreatic fluid collection: demonstration by secretin-stimulated MRI.

Abstract

Peripancreatic fluid collections are among the common post pancreas transplant complications, which are mainly due to leakage from the anastomosis site to bowel and graft pancreatitis. Differentiation between these two entities is important because they are treated differently. In this case, secretin stimulated magnetic resonance cholangiopancreatography revealed gradual intraperitoneal fluid collection and accumulation of fluid in small bowel excluded leakage from the anastomosis of the pancreas to bowel and changed the management from surgery to medical treatment.

• Authors: Saad Alkaade, Rana Fattahi, N Cem Balci, E Isin Akduman, Paul J Garvin, Kian Ali Modanlou, Frank R Burton
• Journal: Magnetic resonance imaging (Magn Reson Imaging) Vol. 27 Issue 7 Pg. 1005-8 (Sep 2009) ISSN: 1873-5894 [Electronic] Netherlands
• PMID: 19369020 (Publication Type: Case Reports, Journal Article)

Chemical References

• Contrast Media
• Secretin

Topics

• Abscess (diagnosis, etiology)
• Acute Disease
• Cholangiopancreatography, Magnetic Resonance (methods)
• Contrast Media
• Female
• Humans
• Image Enhancement (methods)
• Middle Aged
• Pancreas Transplantation (adverse effects, pathology)
• Pancreatic Fistula (diagnosis, etiology)
• Pancreatitis, Graft (diagnosis, etiology)
• Secretin