Surgery Today

, Volume 27, Issue 11, pp 1064–1068 | Cite as

A pancreatic pseudocyst with pancreatic pleural effusion: Report of a case

  • Hironobu Yanagië
  • Tadanobu Tani
  • Takayuki Sairennji
  • Masakata Ogata
  • Masazumi Eriguchi
Case Reports


A 54-year-old man with a 30-year history of chronic alcoholism was admitted to our hospital suffering from dyspnea and left-sided chest pain. A chest radiograph revealed pleural effusion. Computed tomography revealed a pancreatic pseudocyst in the tail of the pancreas spreading out to the posterior mediastinum and the left pleural cavity. The laboratory findings of pleural effusion were as follows: amylase, 118400 IU/1; protein, 4.6 g/dl; class I in cytology. Despite a reduction in the pleural effusion by conservative therapy, left back pain and a recurrence of the pleural effusion were observed after oral intake was re-initiated. A distal pancreatectomy and ligation of the pancreaticopleural fistula were thus performed on the 75th hospital day. The patient made a complete recovery from pancreatic pleural effusion and has now been well for 9 years.

Key Words

pancreatic pseudocyst pancreatic pleural effusion chronic pancreatitis 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kimoto S, Wada T (1989) Chronic pancreatitis. In: Suzuki T, Uchiyama T (eds) New encyclopedia of surgical science. Nakayama-Shoten, Tokyo, pp 67–115Google Scholar
  2. 2.
    Cameron JL, Kieffer RS, Anderson WJ, Zuidema GD (1976) Internal pancreatic fistulas: Pancreatic ascites and pleural effusions. Ann Surg 184:587–593PubMedGoogle Scholar
  3. 3.
    Kuwayama H, Takeuchi K, Ikeda Y, Matsuda M, Tashiro Y, Tomino Y, Kohashi E, Gomi K, Abe M, Kanda H, Matsuo Y, Honda T, Azuma Y, Otoguro M, Saegusa Y, Horigome M (1983) ERP in patients with pancreatic pleural effusion (in Japanese with English abstract). Gastroenterol Endose 25:995–1005Google Scholar
  4. 4.
    Kamiya Y, Gotoh K, Noguchi Y, Shiraki S, Okayama Y, Ohhara H, Iida M, Andoh H, Sano H, Hoshino M, Takeuchi T (1993) Two cases of pancreatic pleural effusion—with a brief review of the pertinent literature (in Japanese with English abstract). Suizo (Jpn J Pancreas Soc) 7:645–651Google Scholar
  5. 5.
    Pottmeyer EW, Frey CF, Matsuno S (1987) Pancreaticopleural fistulas. Arch Surg 122:648–654PubMedGoogle Scholar
  6. 6.
    Nagai S, Sakai M, Chin B, Morishita R, Miyake T, Uchino H, Manabe T (1983) Chronic pancreatitis with pleural effusion: A case report and review of the Japanese literature (in Japanese). Jpn J Gastroenterol 80:2269–2274Google Scholar
  7. 7.
    Cameron JL (1978) Chronic pancreatic ascites and pancreatic pleural effusion. Gastroenterology 74:134–140PubMedGoogle Scholar
  8. 8.
    Kaye MD (1968) Pleuropulmonary complications of pancreatitis. Thorax 23:297–306PubMedGoogle Scholar
  9. 9.
    Greenwald RA, Deluca RF, Raskin JB (1979) Pancreatic-pleural fistula: Demonstration by endoscopic retrograde cholangiopancreatography (ERCP) and successful treatment with radiation therapy. Dig Dis Sci 24:240–244CrossRefPubMedGoogle Scholar
  10. 10.
    Kuroda S, Sennami D, Nagai H, Atomi H, Morioka K (1986) Pancreatic pleural effusion and ascites (in Japanese). Tan to Sui (J Biliary Tract & Pancreas) 7:407–415Google Scholar
  11. 11.
    Nakagawa K, Momono S, Sasaki Y, Furusawa A, Ujiie N (1991) A case of chronic pancreatitis complicated with pancreaticopleural fistula (in Japanese). Tan to Sui (J Biliary Tract & Pancreas) 12:821–825Google Scholar
  12. 12.
    Ahren B, Tranberg KG, Benmark S (1988) Treatment of pancreatic fistula with the somatstatin analogue SMS 201-995. Br J Surg 75:718PubMedGoogle Scholar
  13. 13.
    Yamashina T, Maruyama Y, Fujita H, Oota H, Akiyama S, Inaoka Y, Kida M, Niitu Y (1993) A case report of pancreatic ascites and pleural effusions accompanied with pancreatic pseudocyst. A trial treatment of ethanol injection for pancreatic pseudocyst (in Japanese). Tan to Sui (J Biliary Tract & Pancreas) 14:995–1000Google Scholar
  14. 14.
    Kobayashi T, Kimura T, Yoshida M, Sakuramachi S, Yoshino A, Kawabe A, Kubota O, Ishihara Y, Arigaki A, Suzuki K, Harada Y, Shimura M (1995) Pancreatic pseudocyst with internal fistula into the pleural cavity. Diagnosed by computed tomography. Report of a case (in Japanese). Tan to Sui (J Biliary Tract & Pancreas) 16:615–619Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Hironobu Yanagië
    • 1
  • Tadanobu Tani
    • 2
  • Takayuki Sairennji
    • 2
  • Masakata Ogata
    • 2
  • Masazumi Eriguchi
    • 1
  1. 1.Department of Surgery, Institute of Medical ScienceUniversity of TokyoTokyoJapan
  2. 2.Department of Gastroenterological Surgery, Fuku-jyuuji HospitalInstitute of Anti-TuberculosisKiyoseJapan

Personalised recommendations