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Abdominal Pain After Subtotal Gastrectomy: A First Report of Accessory Pancreatic Fistula

Authors Zhang JY, Huang J, Yang ZY

Received 14 November 2019

Accepted for publication 12 February 2020

Published 19 February 2020 Volume 2020:13 Pages 431—435


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Michael Schatman

Jia-Yu Zhang,1 Jia Huang,2 Zhi-Ying Yang1,2

1Graduate School of Peking Union Medical College, Beijing 100029, People’s Republic of China; 2Department of General Surgery, China-Japan Friendship Hospital, Beijing 100029, People’s Republic of China

Correspondence: Zhi-Ying Yang
Department of General Surgery, China-Japan Friendship Hospital, 2 Cherry Blossom East Street, Beijing 100029, People’s Republic of China

Background: The accessory pancreatic duct (APD) is the main drainage duct of the dorsal pancreatic bud in the embryo and varies greatly during development. An APD fistula is a rare and easily neglected complication. In this case report, the first symptom of the patient was postoperative abdominal pain and fever. He was eventually diagnosed with accessory pancreatic fistula combined with duodenal fistula. Such a case has not been reported in the literature.
Case Summary: A 66-year-old man was emergently hospitalized for abdominal pain. His preliminary diagnosis was perforation of the digestive tract. He developed fever and abdominal pain after emergency subtotal gastrectomy, followed by changes in the colour of the abdominal drainage fluid. An APD fistula and duodenal stump fistula were confirmed by drainage fluid amylase analysis, contrast fistulography and percutaneous transhepatic cholangial drainage (PTCD). After PTCD, nutritional management and drug treatment, the patient recovered well.
Outcome: We found and successfully cured a case of accessory pancreatic duct fistula combined with duodenal stump fistula.

Keywords: gastrointestinal perforation, abdominal pain, accessory pancreatic duct fistula, duodenal stump fistula, case report

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