Endoscopic fibrin glue injection for closure of pancreatocutaneous fistula following transgastric endoscopic necrosectomy

Figure 1 Multiple peripancreatic fluid collections on the body and head portions of the pancreas with a subcutaneous abscess on the right upper quadrant connected to theses peripancreatic fluid collections (A, B), fluoroscopy and follow-up CT showing a frank pancreatocutaneous fistula and abdominal wall defects alongside the percutaneous route (C, D), follow-up CT showing nearly resolved infected peripancreatic nerosis, pancreatocutaneous fistula, and abdominal wall defect after endoscopic necrosectomy and repair of the fistula with fibrin glue (E).

Figure 2 Complete obliteration of the fistula tract after injection of fibrin glue beyond and on the luminal side of the fistula.