PANCREATICO-PORTAL FISTULA AND SUBCUTANEO US FAT NECROSIS

The pancreaticoportal fistula is a very uncommon complication of pancr eatic diseases, mostly occurring in the course of chronic pancreatitis . From 2 findings of pancreaticoportal fistula and a literature review , we emphasize in this study the frequency of subcutaneous fat necrosi s during pancreaticoportal fistula, the pathogenic role of the pancrea ticoportal fistula to induce a subcutaneous fat necrosis by means of a massive enzyme release in the systemic circulation, the protective ro le of portal thrombosis, and finally the diagnostic and therapeutic va lue of endoscopic retrograde cholangio-pancreatography in pancreaticop ortal fistula.