All are true about pancreatic fistula except:
Ans. (d) They will nerve erode into duodenumRef: Sabiston 19/e p 1525; Schwartz 9/ep 1204Fistula from Pancreatic duct:* Pseudo cyst can erode into the small intestine, Duodenum, Stomach, Bile duct or Splenic flexure can form Fistula.* Rarely it results in resolution of fistula and healing of the tract.* Most of the time it will result in sepsis, bleeding and may need surgical intervention.
Occasionally results in resolution of pseudocyst
Fistula may be associated with severe bleeding
Management depends upon GI organ involved
They will never erode into duodenum
Pancreas