Pancreaticopleural Fistula Treated by Endoscopic Pancreatic Stenting in a Patient with Recurrent Pancreatitis.
10.3904/kjm.2014.87.4.455
- Author:
Hyemi KWON
1
;
Jihyang LEE
;
Eunji CHOI
;
Hyojung KIM
;
Jun Hyuk CHOI
;
Jae Ho BYUN
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Pancreaticopleural fistula;
Pleural effusion
- MeSH:
Ascites;
Cholangiopancreatography, Magnetic Resonance;
Contrast Media;
Drainage;
Exudates and Transudates;
Fistula*;
Follow-Up Studies;
Humans;
Male;
Middle Aged;
Octreotide;
Pancreatic Ducts;
Pancreatic Pseudocyst;
Pancreatitis*;
Pleural Effusion;
Stents*;
Thorax
- From:Korean Journal of Medicine
2014;87(4):455-460
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic duct disruption associated with pancreatitis can lead to the development of pseudocysts, pancreatic ascites, and pleural effusion. A 50-year-old male presented with a 1-month history of postprandial epigastric pain. A chest X-ray showed right pleural effusion. Diagnostic thoracentesis revealed an amylase-rich exudate consistent with pancreatic effusion. Magnetic resonance cholangiopancreatography demonstrated a pancreaticopleural fistula tract, and endoscopic retrograde pancreatography confirmed the presence of pancreatic ductal disruption and leakage at the genu portion. The pancreaticopleural fistula was treated by transpapillary pancreatic stenting. Percutaneous drainage of the pleural effusion and octreotide injection were also performed. Follow-up endoscopic retrograde pancreatography at 8 weeks revealed no leakage of contrast media from the main pancreatic duct. Endoscopic pancreatic stenting can be an efficacious nonsurgical treatment of pancreaticopleural fistula following pancreatitis.
