Pancreatic duct leaks can occur as a result of both acute and chronic pancreatitis or in the setting of pancreatic trauma Here, we present a pictorial review of pancreatic leaks, to facilitate for radiologists the comprehension of pancreatic leaks and their essential imaging patterns. Manifestations of leaks include pseudocysts, pancreatic ascites, high amylase pleural effusions, disconnected duct syndrome, and internal and external pancreatic fistulas.
Pd leaks result from disruption of the pancreatic ductal system, which can be seen in the setting of acute or chronic pancreatitis, abdominal trauma, and as a complication of pancreatic resection or peripancreatic surgery. A pancreatic fistula is an abnormal communication between the pancreas and other organs due to leakage of pancreatic secretions from damaged pancreatic ducts. High amylase in the drain fluid indicates pancreatic leak since the pancreas is the source of pancreatic amylase and without a leak, the pancreatic fluid drains into the small intestine.
It is a condition in which pancreatic juice leaks from the pancreas and into the abdominal cavity, causing inflammation and potentially leading to serious complications.