Endoscopic Management of Pancreaticopleural Fistula in a Child with Hereditary Pancreatitis
10.5223/pghn.2019.22.6.601
- Author:
Dahye LEE
1
;
Eun Joo LEE
;
Ju Whi KIM
;
Jin Soo MOON
;
Yong Tae KIM
;
Jae Sung KO
Author Information
1. Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. kojs@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreaticopleural fistula;
Endoscopic retrograde cholangiopancreatography;
Chronic pancreatitis;
Pancreatic fistula;
Pleural effusion
- MeSH:
Amylases;
Catheters;
Child;
Child, Preschool;
Cholangiopancreatography, Endoscopic Retrograde;
Drainage;
Fistula;
Genetic Testing;
Humans;
Korea;
Male;
Octreotide;
Pancreas;
Pancreatic Fistula;
Pancreatitis;
Pancreatitis, Chronic;
Pleural Effusion;
Radiography;
Stents;
Thorax
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2019;22(6):601-607
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pancreaticopleural fistula (PPF) a fistulous connection between the pancreas and pleural space due to prolonged chronic pancreatitis (CP). PPF is a very rare complication which presents in 0.4% of chronic pancreatitis cases, especially among children. We report a case involving a 3-year-old boy who presented with pleural effusion caused by a PPF, a complication of hereditary pancreatitis, which was, for the first time in Korea, successfully managed with endoscopic treatment. Chest radiography and computed tomography showed massive pleural effusion. Percutaneous catheter drainage was performed. High amylase levels were observed in the pleural fluid and serum, suggesting PPF. The patient was managed with bowel rest and octreotide infusion. Endoscopic retrograde cholangiopancreatography revealed CP, and pleural effusion was successfully managed with stent placement. PRSS1 genetic screening revealed R122H mutation.
