Spontaneous intra-gastric rupture of walled-off pancreatic necrosis: Endoscopic ultrasound features

Author:

Rana Surinder Singh1,Sharma Vishal1,Prasad K. V. Raghavendra1,Sharma Ravi1,Chhabra Puneet1,Gunjan Deepak1,Gupta Rajesh2,Bhasin Deepak Kumar1

Affiliation:

1. Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

2. Department of Gastroenterology, Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Abstract

AbstractWalled-off necrosis (WON) is a delayed local complication of acute pancreatitis. It is usually associated with acute necrotizing pancreatitis. It requires drainage if it is infected, associated with gastric or biliary obstruction or is painful. Asymptomatic WON are usually managed conservatively. Occasionally, WON may spontaneously fistulize into gastrointestinal lumen or may rupture into the peritoneum. We describe the endoscopic demonstration of a case of spontaneous rupture of WON into the stomach and its subsequent uncomplicated resolution. Spontaneous rupture of WON into gastrointestinal tract with uncomplicated resolution is a rare event.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Radiology Nuclear Medicine and imaging

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