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Manov J, Langston M, Roth P, et al. Pancreatocolonic fistulization secondary to pancreatic adenocarcinoma presenting as unexplained halitosis. Radiol Case Rep. 2017;13(1):72-75doi: 10.1016/j.radcr.2017.11.011.
Manov, J., Langston, M., Roth, P., Barkin, J., Kuker, R., & Barkin, J. S. (2018). Pancreatocolonic fistulization secondary to pancreatic adenocarcinoma presenting as unexplained halitosis. Radiology case reports, 13(1), 72-75. https://doi.org/10.1016/j.radcr.2017.11.011
Manov, John, et al. "Pancreatocolonic fistulization secondary to pancreatic adenocarcinoma presenting as unexplained halitosis." Radiology case reports vol. 13,1 (2018): 72-75. doi: https://doi.org/10.1016/j.radcr.2017.11.011
Manov J, Langston M, Roth P, Barkin J, Kuker R, Barkin JS. Pancreatocolonic fistulization secondary to pancreatic adenocarcinoma presenting as unexplained halitosis. Radiol Case Rep. 2017 Dec 25;13(1):72-75. doi: 10.1016/j.radcr.2017.11.011. eCollection 2018 Feb. PMID: 29487640; PMCID: PMC5826695.
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Radiol Case Rep. 2017 Dec 25;13(1):72-75. doi: 10.1016/j.radcr.2017.11.011. eCollection 2018 Feb.

Pancreatocolonic fistulization secondary to pancreatic adenocarcinoma presenting as unexplained halitosis.

Radiology case reports

John Manov, Michael Langston, Patrick Roth, Jodie Barkin, Russ Kuker, Jamie S Barkin

Affiliations

  1. Department of Radiology, University of Miami Miller School of Medicine, WW279, 1611 NW 12th Avenue, Miami, FL 33136, USA.
  2. Division of Gastroenterology, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.

PMID: 29487640 PMCID: PMC5826695 DOI: 10.1016/j.radcr.2017.11.011

Abstract

Pancreatic cancer is often detected in late stages, which contributes to its grim prognosis. Although the manifestations of pancreatic cancer most often include nonspecific gastrointestinal complaints, we report a case with the sole initial complaint of halitosis and subsequent diagnostic workup demonstrating a pancreatic mass with secondary pancreatocolonic fistulization. The etiologies of and the radiological findings pertaining to halitosis, the presenting symptoms and imaging studies relevant to the diagnosis of pancreatic cancer, and the imaging and clinical findings of pancreatic fistulization are discussed.

Keywords: Fistula; Halitosis; Malignancy; Pancreatic cancer

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