CVIR Endovascular · Published 2026-06-18 · DOI 10.1186/s42155-026-00720-9
Maria M. Taepper, Ricardo Donners, Christoph Kümmerli, Adrian Billeter, Henriette S. Heinrich, Marius Zimmerli, Christoph J. Zech, Adrian R. Kobe
Abstract Summary A 70-year-old male with recurrent alcohol-related pancreatitis and prior Roux-en-Y gastric bypass presented with complicated acute pancreatitis. Imaging revealed ascites, portal vein thrombosis with cavernous transformation, and a pancreatic pseudocyst adjacent to the portal vein. Subsequent MRCP demonstrated complete resolution of the thrombosis and confirmed a pancreatic–portal vein fistula (PPVF) with intravascular pancreatic secretions. Due to altered anatomy, endoscopic treatment was not feasible. A percutaneous approach was performed, including transhepatic drainage across the portal vein, pseudocyst, and pancreatic duct for decompression, followed by definitive portal vein embolization using an Amplatzer plug and Histoacryl/Lipiodol. At 4-month follow-up, MRI confirmed fistula closure and the patient remained clinically stable with preserved liver function.
Abstract from DOAJ. Public domain (CC0 1.0).
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Taepper, M., Donners, R., Kümmerli, C., et al. (2026). Portal vein embolization for pancreatic-portal vein fistula in acute pancreatitis: interventional treatment of a rare complication. CVIR Endovascular. https://doi.org/10.1186/s42155-026-00720-9