Evidence map›Paper›PMID 42729581›Full record

ArticleRadiology case reports2026

Walled-off necrosis with portal vein fistula and arterial bleeding successfully treated without collection drainage: A case report.

Luciana Coelho Marques, Arthur Petrillo Bellintani, Roberto Rasslan, Carla Micaele de Freitas, Natalia Kimie de Faria Fujiwara, Vitor Matheus Silva, Felipe Kfouri, Sergio Henrique Bastos Damous, Carlos Augusto Menegozzo, Edivaldo Massazo Utiyama and 1 more

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Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Luciana Coelho MarquesMedical School, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Arthur Petrillo BellintaniDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Roberto RasslanDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Carla Micaele de FreitasDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Natalia Kimie de Faria FujiwaraDepartment of Radiology, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Vitor Matheus SilvaMedical School, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Felipe KfouriDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Sergio Henrique Bastos DamousDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Carlos Augusto MenegozzoDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Edivaldo Massazo UtiyamaDepartment of General Surgery, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.
Manoel de Souza RochaDepartment of Radiology, Hospital das Clínicas, FMUSP, University of São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic portal vein fistula (PPVF) is a rare condition, often a complication of chronic pancreatitis, involving communication between a pancreatic collection and the portal vein. Early diagnosis is crucial to prevent severe complications, including portal vein thrombosis and hemorrhage. This case report presents a 62-year-old man with HIV and congestive heart failure who developed a PPVF following walled-off necrosis due to acute pancreatitis. Diagnosis of this complication resulted from abdominal pain secondary to splenic artery branch bleeding into the collection, which was treated by embolization. Despite systemic complications, the patient recovered without the need for walled off necrosis drainage. This case underscores the challenge and the importance of individualized treatment for PPVFs and its complications.

Indexed as

FistulaPancreatic ductPancreatitisPortal veinSplenic arteryWalled off necrosis

Identifiers

PMID42729581
PMCPMC13562375

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