Research Information System
INTERNATIONAL HARRAN HEALTH SCIENCES CONGRESS-IV, Şanlıurfa, Turkey, 9 - 11 September 2022, pp.41-43, (Summary Text)
Abstract Postoperative Pancreatic Fistula (POPF) is a complication with high mortality and morbidity that can usually be seen after pancreatic surgery. Although pancreatic fistulas commonly occur after pancreatic surgery, they can also rarely be seen after surgical interventions for splenic flexure of colon and spleen, and also post-traumatic. For pancreatic fistulas; different treatment approaches such as conservative, endoscopic and percutaneous and surgical are applied. In this study, we aimed to present a patient who developed pancreatic fistula as a result of penetrating stab wound to the abdomen. Case: Sixty-five years old male patient. Emergency laparotomy was performed due to penetrating stab wound to the abdomen from the left hypochondrium and perforation in the colon splenic flexure and bleeding in the colon meso were detected intraoperatively. Segmental colon resection and Hartman procedure was performed. Pancreas was explored intraoperatively but no macroscopic pathology was found. On the 5th postoperative day, pancreatic fluid was detected in the abdominal drain. The drain amylase and lipase values were found to be high, and diffuse intra-abdominal fluid was detected in the abdominal CT (Picture 1) and pancreatic fistula was considered in the patient. Since there was no response to conservative treatment approaches, stent placement in the pancreatic duct was performed with Endoscopic Retrograde Cholangiopancreatography (ERCP). During the follow-up period the drain yields decreased and the control CT (Figure 2) showed that the intra-abdominal fluid had disappeared. The pancreatic stent was removed endoscopically at the end of the 1st month, and the patient did not experience any problems in the controls. Conclusion: ERCP is an alternative and effective treatment method in the treatment of pancreatic fistulas that develop after pancreatic and spleen surgery and more rarely posttraumatically