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British Journal of Radiology (2008) 81, e13-e16
© 2008 British Institute of Radiology
doi: 10.1259/bjr/77979574
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Case report

Spontaneous pancreatic pseudocyst-portal vein fistula presenting with pancreatic ascites: strength of MR cholangiopancreatography

S E Yoon, MD1, Y-H Lee, MD1, K-H Yoon, MD1, C S Choi, MD2, H-C Kim, MD2 and K M Chae, MD3

Departments of 1 Radiology, 2 Internal Medicine and 3 Surgery, Wonkwang University School of Medicine, 344-2 Sinyongdong, Iksan, Jeonbuk 570-711, Korea

Correspondence: Seong Eon Yoon, Department of Radiology, Wonkwang University School of Medicine, 344-2 Sinyong-dong, Iksan, Jeonbuk, 570-711, Korea. E-mail: radiology{at}paran.com

Pancreatic pseudocyst-portal vein fistulae are a very rare complication of acute or chronic pancreatitis. Another late complication of chronic pancreatitis is pancreatic ascites. We report the case of a 43-year-old man with a spontaneous pseudocyst-portal vein fistula presenting with pancreatic ascites diagnosed by various imaging modalities, in order to emphasize the strength and efficacy of magnetic resonance cholangiopancreatography.






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