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Canadian Journal of Gastroenterology
Volume 23 (2009), Issue 8, Pages 557-559
http://dx.doi.org/10.1155/2009/597208
Brief Communication

Pancreatic Pseudocyst with Fistula to the Common Bile Duct Resolved by Combined Biliary and Pancreatic Stenting – A Case Report and Literature Review

Jaber A Al Ali,1 Henry Chung,1 Peter L Munk,2 and Michael F Byrne1

1Department of Medicine, Division of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada
2Division of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada

Received 26 January 2009; Accepted 30 January 2009

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pancreatic pseudocysts develop in 10% to 20% of patients with chronic pancreatitis, and can cause a variety of complications such as infection, bleeding or development of fistulae. However, fistulous communication with the common bile duct is very rare. The present report describes an unusual case of a patient with a large, symptomatic pancreatic pseudocyst with a fistula to the common bile duct that was treated successfully by combined biliary and pancreatic stenting.