Pancreatico-pleural Fistula: A Rare Cause of Hemorrhagic Pleural: A case report.
- Author:
Jeong Hwan YU
1
;
Shin Kwang KANG
;
Yong Ho KIM
;
Jae Hyeon YU
;
Seung Pyung LIM
;
Young LEE
;
Kwang Sik CHUN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University, Korea. cskkwang@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Pleural effusion;
Fistula;
Pancreatic cyst
- MeSH:
Alcoholism;
Amylases;
Drainage;
Fistula;
Humans;
Lipase;
Middle Aged;
Pancreatectomy;
Pancreatic Cyst;
Pancreatic Ducts;
Parenteral Nutrition, Total;
Pleural Effusion;
Rupture;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(2):263-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A pancreatico-pleural fistula (PPF), caused by rupture of a pancreatic pseudocyststectomy or obstruction of the pancreatic duct, is a rare condition. A 48-year-old man with chronic alcoholism was admitted with a massive pleural effusion. Pleural fluid studies revealed elevated amylase and lipase. A PPF complicated by a ruptured pancreatic pseudocyststectomy was diagnosed by computerized tomography scan. Although the symptoms improved with conservative management, (chest tube drainage, NPO, total parenteral nutrition, and a pancreatic secretion inhibitor), a distal pancreatectomy, including a pseudocystectomy and thoracotomy, were performed for an increasing size of the hemorrhagic pancreatic pseudocyststectomy and a recurrent hemorrhagic pleural effusion. There were no post-operative complications and the patient was discharged on post-operative day 27.
