Traitement endoscopique d’une fistule colique due à une pancréatite aiguë nécrosante : à propos d’un cas View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-06

AUTHORS

J. P. Ratone, X. Truchet, J. P. Bernard, L. Heyries

ABSTRACT

Les pancréatites aiguës sévères se compliquent de fistules coliques dans environ 3 à 5 % des cas. Le traitement de référence est une prise en charge chirurgicale avec souvent dérivation digestive temporaire. Nous reportons le cas d’un homme de 37 ans présentant une fistule colique après pancréatite aiguë nécrosante. Avant la mise en évidence de la fistule, un pseudokyste a fait l’objet d’un drainage transgastrique perendoscopique. Devant la persistance d’un état septique, le patient a été adressé dans notre centre. Une nécrosectomie endoscopique a été réalisée et un drain nasokystique a été mis en place pour lavages itératifs. Une fistule kystocolique a été mise en évidence de manière fortuite lors de l’opacification via ce drain. Un traitement médical a été ensuite conduit avec antibiotiques, antifongique adaptés aux différents prélèvements, dérivés de la somatostatine ainsi que drainage percutané sous scanner d’une collection dans le flanc gauche. Après lavages itératifs via les deux drains, l’opacification de contrôle ne montrait plus de fistule, les drains ont été retirés sans récidive à ce jour. More... »

PAGES

190-193

References to SciGraph publications

Journal

TITLE

Acta Endoscopica

ISSUE

4

VOLUME

44

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-014-0381-1

DOI

http://dx.doi.org/10.1007/s10190-014-0381-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032353587


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