Pancreaticothoracic Fistula Presenting with Hemoptysis and Pneumothorax in a Chronic Alcoholic Patient.
10.4046/trd.2014.76.5.240
- Author:
Si Nae LEE
1
;
Kyung Hee LEE
;
Seok CHUNG
;
Hae Sung NAM
;
Jae Hwa CHO
;
Jeong Seon RYU
;
Seung Min KWAK
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. smkwak@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatic Fistula;
Hemoptysis;
Pneumothorax;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangiopancreatography, Magnetic Resonance
- MeSH:
Abdominal Pain;
Alcoholics*;
Back Pain;
Chest Pain;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangiopancreatography, Magnetic Resonance;
Cough;
Dyspnea;
Fatigue;
Fever;
Fistula*;
Hand;
Hemoptysis*;
Humans;
Pancreatic Fistula;
Pancreatitis;
Pancreatitis, Alcoholic;
Pneumothorax*;
Stents
- From:Tuberculosis and Respiratory Diseases
2014;76(5):240-244
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pancreaticothoracic fistula is a rare complication of acute or chronic alcoholic pancreatitis. It may present with various symptoms, like dyspnea, abdominal pain, cough, chest pain, fever, back pain, hemoptysis, fatigue, or orthopnea. Pancreaticothoracic fistula can be detected by magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), or computed tomography. MRCP has high sensitivity and fewer side effects, and thus it has recently been recommended as the first choice for the detection of pancreaticothoracic fistula. On the other hand, ERCP enables the detection and treatment of pancreaticothoracic fistula and allows for stent insertion; for this reason it is a commonly used modality in pancreaticothoracic fistula cases. Herein, the authors describe a case of pancreaticothoracic fistula detected by ERCP and MRCP that manifested only respiratory symptoms, namely hemoptysis and pneumothorax without abdominal pain, which commonly accompanies pancreatitis.
