Abstract
A male 39-years of age presented with generalized abdominal pain of 2 days, associated with fever, anorexia and vomiting. Examination findings were consistent with peritonitis Biochemical indices had neutrophillic leucocytosis and high C-reactive protein. X-ray abdomen has distended bowel loops but no gas under diaphragm. Ultrasonography had limited value due to distended bowel loops.
Highlights
Pancreatic fistulas continue to be of significant morbidity, causing longer hospital stay and incur a high cost
Pancreatic fistulas have been a major concern following surgical intervention of pancreas because of its significant morbidity, longer postoperative recovery and high cost incurred to health institutions
Pancreatic leaks which form after distal pancreatectomy and various ennucleation procedures are categorized as pancreatic occlusion failures (POF) [2] and have the low incidence of about 5% amongst specialized centers [4]
Summary
Pancreatic fistulas continue to be of significant morbidity, causing longer hospital stay and incur a high cost. The reported incidence of pancreatic fistula following pancreatico-duodenectomy is 6-14% [2,3]. Transection at the pancreatic body, splenectomy, failure to close pancreatic duct and non-use of peri-operative somatostatin agonist (Octreotide) are thought to be risks for fistulation following distal pancreatectomy [5,6,7].
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