PANCREATICO-PORTAL FISTULA - A RARE COMPL ICATION OF CHRONIC-PANCREATITIS

We report a 40-year-old patient with complication of chronic pancreati tis as a pancreatico-portal fistula. The patient had subcutaneous nodu lar fat necrosis of the lower limbs resembling Weber-Christian syndrom e, and amylasic ascitis. The diagnosis was established with retrograde endoscopic cholangio-pancreatography which found three pancreatic pse udocysts and a communication with the portal venous system. A portal t hrombosis with cavernum was studied with color echo-Doppler and arteri ography. The echo-endoscopy was performed for the first time in this c omplication and its significance estimated. The evolution was quickly and spontaneously favourable. That is a very rare complication of chro nic pancreatitis and an expectant conservative management can be adopt ed.