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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 11, Issue 1, May 2014 pp 27-29

Case Report

Spontaneous Pancreatico-Cutaneous Fistula:  a Rare Case Report and Review

Jaykar R.D.¹, Jadhav S.C.², Agrawal S.G.³

¹Associate Professor, ²Assistant Professor, ³Resident Doctor

Department of General Surgery, Dr. V.M. Government Medical College, Solapur, Maharashtra, INDIA.

Academic Editor : Dr. Aher K.R.

 Background: The frequency of pancreatic fistulas is low. Only 0.4% of patients develop this complication after an acute episode. However, the incidence of these complications increases in patients with other complications after acute pancreatitis—4.5% in patients with pancreatic pseudocysts (4.5%) and 40% in patients with infected necrosis after surgical debridement. Treatment is conservative for most patients.¹ Case: We report a case of Spontaneous Pancreatico-cutaneous (Pancreatico-umbilical) Fistula in a 30 year male complaining of pain in abdomen in epigastrium, lump in abdomen and spontaneous discharge of pus from umbilicus followed by disappearance of lump. Patient was known case of Acute Pancreatitis with pseudocyst formation since 4 months. Abdominal ultrasound contrast CT scan abdomen revealed. “Severe acute pancreatitis with focal necrosis in tail region with multiple peripancreatic collection. Multiple organised intra-abdominal infective collection. Organised collection in anterior abdominal wall with sinus tract formation in umbilical region”. Review CT scan abdomen with Fistulogram revealed “Small fistulous tract in midline extending from umbilicus and communicating with peritoneal cavity”. The patient was treated conservatively with higher antibiotics and patient recovered uneventfully and discharged.