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A 66−year−old woman was hospitalized because of severe acute pancreatitis. She was managed conservatively but spiked a fever whenever she took in nutrients. Imaging studies revealed two pancrea− ticoduodenal fistulas that had no connec− tion with the pancreatic duct itself (Fig− ure 1). Endoscopic naso±pancreatic and naso±fistula drainage were not effective, so she underwent endoscopic sealing of the pancreaticoduodenal fistulas using cyanoacrylate.

Endoscopic sealing of a pancreatic fistula using ethyl-2-cyanoacrylate