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Case Reports in Gastrointestinal Medicine
Volume 2018, Article ID 4521632, 4 pages
https://doi.org/10.1155/2018/4521632
Case Report

Colopancreatic Fistula: An Uncommon Complication of Recurrent Acute Pancreatitis

1Henry Ford Health System, 2799 W Grand Blvd, Gastroenterology K-7 Room E-744, Detroit, MI 48202, USA
2Internal Medicine, Graduate Medical Education, School of Medicine, University of Missouri-Kansas City, 2411 Holmes Street, M2-302, Kansas City, MO 64108, USA
3Gastroenterology, School of Medicine, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA

Correspondence should be addressed to Mouhanna Abu Ghanimeh; moc.oohay@78akannahuom

Received 4 November 2017; Revised 28 January 2018; Accepted 22 February 2018; Published 27 March 2018

Academic Editor: Hideto Kawaratani

Copyright © 2018 Mouhanna Abu Ghanimeh et al. 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

Colonic complications, including colopancreatic fistulas (CPFs), are uncommon after acute and chronic pancreatitis. However, they have been reported and are serious. CPFs are less likely to close spontaneously and are associated with a higher risk of complications. Therefore, more definitive treatment is required that includes surgical and endoscopic options. We present a case of a 62-year-old male patient with a history of heavy alcohol intake and recurrent acute pancreatitis who presented with a 6-month history of watery diarrhea and abdominal pain. His abdominal imaging showed a possible connection between the colon and the pancreas. A further multidisciplinary workup by the gastroenterology and surgery teams, including endoscopic ultrasound, endoscopic retrograde cholangiopancreatography, and colonoscopy, resulted in a diagnosis of CPF. A distal pancreatectomy and left hemicolectomy were performed, and the diagnosis of CPF was confirmed intraoperatively. The patient showed improvement afterward.