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DOI:10.2214/AJR.05.1174
AJR 2007; 188:W323-W327
© American Roentgen Ray Society


Clinical Observations

CT Features of Pancreatic Fistula After Pancreaticoduodenectomy

Manabu Hashimoto1, Makoto Koga1, Koichi Ishiyama1, Jiro Watarai1, Satoshi Shibata2, Tutomu Sato2 and Yuzo Yamamoto2

1 Department of Radiology, Akita University School of Medicine, 1-1-1 Hondo, Akita, Akita 010-8543, Japan.
2 Department of Surgery, Akita University School of Medicine, Akita, Japan.

OBJECTIVE. Our objective was to establish the CT features that are indicative of pancreatic fistula after pancreaticoduodenectomy.

CONCLUSION. A fluid collection seen on CT around the pancreaticojejunostomy site and in the pancreatic bed may be caused by pancreatic fistula in patients who have undergone pancreaticoduodenectomy. CT depiction of air bubbles in the fluid at these sites may strongly suggest the diagnosis of pancreatic fistula.

Keywords: abdominal imaging • CT • pancreatic fistula • pancreaticobiliary imaging


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