Korean J Thorac Cardiovasc Surg.
2009 Apr;42(2):263-267.
Pancreatico-pleural Fistula: A Rare Cause of Hemorrhagic Pleural: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University, Korea. cskkwang@cnuh.co.kr
- 2Department of Surgery, College of Medicine, Chungnam National University, Korea.
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.
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