Abstract
Pancreaticopleural fistula is a rare complication of acute pancreatitis with pancreatic pseudocyst. We report the case of a 39-year-old man admitted for respiratory distress. Chest X-ray showed a pleural effusion, and thoracentesis yielded bloody fluid. Computed tomography (CT) scan showed a multiloculated pleural effusion and sagittal reconstruction revealed a fistulous tract between the pleura and a pancreatic pseudocyst. We treated the acute hemothorax complicating the pancreaticopleural fistula by performing urgent thoracotomy with the evacuation of blood and clots and lung decortication. We also gave the patient somatostatin and performed endoscopic retrograde cholangiopancreatography with sphincterotomy, and placed a pancreatic stent. The patient recovered well.
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References
YS Oh SA Edmundowicz SS Jonnalagadda RR Azar (2006) ArticleTitlePancreaticopleural fistula: report of two cases and review of the literature Dig Dis Sci 51 1–6 Occurrence Handle16416200 Occurrence Handle10.1007/s10620-006-3073-7
K Amer B Mahesh R Ascione (2002) ArticleTitlePedicled intercostal muscle flap: a simple technique of closing pancreatico-pleural fistula from a thoracic approach Eur J Cardiothorac Surg 22 831–2 Occurrence Handle12414056 Occurrence Handle10.1016/S1010-7940(02)00474-8
DC Rockey JP Cello (1990) ArticleTitlePancreaticopleural fistula. Report of 7 patients and review of the literature Medicine (Baltimore) 69 332–44 Occurrence Handle1:STN:280:By6D2c7mvVw%3D
H Ito N Matsubara T Sakai N Aso M Kitami S Ono et al. (2002) ArticleTitleTwo cases of thoracopancreatic fistula in alcoholic pancreatitis: clinical and CT Findings Radiat Med 20 207–11 Occurrence Handle12296438
R Materne P Vranckx C Pauls EE Coche P Deprez BE Van Beers (2000) ArticleTitlePancreaticopleural fistula: diagnosis with magnetic resonance pancreatography Chest 117 912–4 Occurrence Handle10713030 Occurrence Handle10.1378/chest.117.3.912 Occurrence Handle1:STN:280:DC%2BD3c7nvFGrtw%3D%3D
A Miyachi M Kikuyama Y Matsubayashi F Kageyama S Sumiyoshi Y Kobayashi (2004) ArticleTitleSuccessful treatment of pancreaticopleural fistula by nasopancreatic drainage and endoscopic removal of pancreatic duct calculi: a case report Gastrointest Endosc 59 454–7 Occurrence Handle14997157 Occurrence Handle10.1016/S0016-5107(03)02719-6
JA Miller P Maldjian J Seeff (1998) ArticleTitlePancreaticopleural fistula: an unusual cause of persistent unilateral pleural effusion Clin Imaging 22 105–7 Occurrence Handle9543587 Occurrence Handle10.1016/S0899-7071(97)00078-8 Occurrence Handle1:STN:280:DyaK1c3gsFWluw%3D%3D
T Akahane S Kuriyama M Matsumoto E Kikuchi M Kikukawa H Yoshiji et al. (2003) ArticleTitlePancreatic pleural effusion with a pancreaticopleural fistula diagnosed by magnetic resonance cholangiopancreatography and cured by somatostatin analogue treatment Abdom Imaging 28 92–5 Occurrence Handle12483394 Occurrence Handle10.1007/s00261-001-0144-2 Occurrence Handle1:STN:280:DC%2BD38jitFCntQ%3D%3D
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Boudaya, M., Alifano, M., Baccari, S. et al. Hemothorax as the Clinical Presentation of a Pancreaticopleural Fistula: Report of a Case. Surg Today 37, 518–520 (2007). https://doi.org/10.1007/s00595-006-3427-y
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DOI: https://doi.org/10.1007/s00595-006-3427-y