Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Case Report

Volume 16, Number 4, April 2024, pages 182-188

Intractable Postoperative Pancreatic Fistula: Undefined Type of Pancreatic Fistula Managed by Puestow-Like Procedure

Figures

Figure 1.
Figure 1. An axial abdominal CT scan showing a multilocular cystic intra-abdominal collection at the left upper abdomen (arrow). CT: computed tomography.
Figure 2.
Figure 2. A coronal CT scan of the abdomen demonstrating multilocular cystic mass encompassing the left liver lobe (short arrow) in addition to dilated MPD (long arrow). CT: computed tomography; MPD: main pancreatic duct.
Figure 3.
Figure 3. An abdominal MRI/MRCP shows significant intrabdominal collection improvement with dilated MPD (arrow). MRI: magnetic resonance imaging; MRCP: magnetic resonance cholangiopancreatography; MPD: main pancreatic duct.
Figure 4.
Figure 4. An axial abdominal CT scan showing a multilocular cystic intra-abdominal collection near the pancreas stump remnant (arrow). CT: computed tomography.
Figure 5.
Figure 5. Duct-occlusion PD (a) and the Puestow-like procedure (b) following reconstructing the pancreatic duct to the gastrointestinal tract. PD: pancreatoduodenectomy; POPF: postoperative pancreatic fistula.