Akademik Veri Yönetim Sistemi
Marisiensis, Targu-Mures, Romanya, 17 - 21 Mayıs 2023, ss.1
A 20-year-old male patient was transferred to our clinic after five months hospitalised period with the diagnosis of infected acute necrotising pancreatitis. When admitted to our clinic, the patient had six drainage tubes. While inserting one of the peripancreatic drainage catheters, the radiologist suspected the iatrogenic perforation of the duodenum, and the fistulogram revealed a duodenal fistula. They refer the patient to our clinic when there is no spontaneous closure of the iatrogenic fistula tract and deterioration of the clinical condition. The methylene blue injection through the drainage catheters affirmed the fistula tract under the gastroduodenoscopic examination (Video). The fistula mouth was located between the pylorus and superior duodenal flexure and was about 5 mm in diameter. Over the scope clip (OTSC) (Ovesco Endoscopy, Tübingen, Germany) was used to close the fistula, and there was no extraluminal flow in the fluoroscopic examination. Methylene blue digestion showed no leakage in the drainage bags; therefore, the immediate pancreatic diet was started for enteral feeding.