Pancreaticoportal Fistula in Association with Antiphospholipid Syndrome Presenting as Ascites and Portal System Thrombosis | Zendy

Li-Hsin Chang | Zendy; Luc Francoeur | Zendy; Franzjosef Schweiger | Zendy

Open Access

Pancreaticoportal Fistula in Association with Antiphospholipid Syndrome Presenting as Ascites and Portal System Thrombosis

Author(s) -

Li-Hsin Chang,

Luc Francoeur,

Franzjosef Schweiger

Publication year - 2002

Publication title -

canadian journal of gastroenterology

Language(s) - English

Resource type - Journals

eISSN - 1916-7237

pISSN - 0835-7900

DOI - 10.1155/2002/729343

Subject(s) - medicine , ascites , endoscopic retrograde cholangiopancreatography , portal vein thrombosis , pancreatitis , thrombosis , complication , radiology , abdominal pain , fistula , portal venous system , antiphospholipid syndrome , concomitant , portal hypertension , surgery , venous thrombosis , cirrhosis

Fistulous communication between the pancreas and the portal venous system is extremely rare and is usually a complication of chronic pancreatitis or pancreatic pseudocysts. A patient who presented with abdominal pain and ascites secondary to a pancreaticoportal fistula and portal system thrombosis is described. The diagnosis was made by endoscopic retrograde cholangiopancreatography and confirmed by immediate postprocedure computed tomographic scanning. Laboratory studies identified concomitant antiphospholipid syndrome. The patient responded favourably to supportive medical therapy.

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