4 CONCLUSION AND RESULTS (OUTCOME AND FOLLOW UP)
The patient presented after 1 month with a history of postoperative fever, vomiting, and fever. A Follow-up CT scan was performed which showed an interval decrease in the size of the peripancreatic pseudocyst with interval development enhancing thick walls along with surrounding fat stranding suggesting infection (Figure 4).
The patient was transfused 2-pack cell volume (PCV) due to low hemoglobin and admitted to the ward for further management. Intravenous (IV) fluids and antibiotics were continued. An ultrasound-guided drain was placed in the pseudocyst cavity and 120 ml of infected fluid was aspirated. Subsequently, the patient tolerated oral nutrition and was afebrile and clinically stable before being discharged.
Pancreatico-renal fistula is a rare but potentially serious complication of pancreatitis. Early recognition and appropriate management are crucial to prevent complications and improve outcomes. This case highlights the importance of a multidisciplinary approach involving gastroenterologists, radiologists, and surgeons in the management of pancreatic pseudocysts. Further research is needed to better understand the pathophysiology and optimal management strategies for this uncommon condition.