Shifting the Treatment Paradigm for Pancreaticoportal Fistula Causing Hepatic Necrosis
Case Presentation and Evolution
A 50-year-old woman was evaluated in the primary care clinic with yellowing of the eyes 2 months after hospitalization for acute pancreatitis complicated by E. coli sepsis. Laboratory evaluation revealed elevated total bilirubin (3.4 mg/dl; normal 0.3–1.3), alkaline phosphatase (891 U/L; normal 35–115), aspartate transaminase (94 U/L; normal 15–43), and alanine aminotransferase (103 U/L; normal 5–54).
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.