A case is reported in which pancreatic abscess with erosion into the colon and the splenic artery was treated successfully. The 35 previously reported cases of colonic fistulization in pancreatitis are reviewed, and the pathophysiology, diagnosis, and management of this complication are discussed.
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Article Synopsis
- Enteroatmospheric fistula (EAF) is a serious complication arising after abdominal surgery, characterized by an abnormal connection between the gastrointestinal tract and the atmosphere, which poses challenges like a high mortality rate and difficulties in managing intestinal content.
- A case study describes a patient who experienced multiple EAFs following Hartmann reversal surgery, leading to several interventions, including resection of affected bowel segments and creation of an ileostomy.
- There is no one-size-fits-all treatment for EAF, though spontaneous closure might occur in specific cases with minimal output and preserved intestinal continuity.
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