| A pancreaticopleural fistula cured with endoscopic pancreatic duct drainage |
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Myung Ho Jeong, Sung Gon Shim, Sung Cheol Jo, Hang Lak Lee, Oh Young Lee, Byung Chul Yoon, Ho Soon Choi |
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| 내시경 췌관 배액술로 완치된 췌장-흉막루 |
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정명호·심성곤·조승철·이항락·이오영·윤병철·최호순, Sung Gon Shim, Sung Cheol Jo, Hang Lak Lee, Oh Young Lee, Byung Chul Yoon, Ho Soon Choi |
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| Abstract |
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A pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis or traumatic destruction of the pancreatic duct.
The pleural effusions related to pancreatitis are usually left-sided because the pancreas is closer to the left hemidiaphragm than to
the right. A pancreatic pleural effusion is often misdiagnosed as pulmonary disease rather than abdominal disease because of the
predominance of pulmonary complaints. After chest X-rays, the diagnosis is usually made on thoracentesis, when the pleural fluid
contains markedly elevated amylase and lipase levels and a high albumin content. We report a case of pancreaticopleural fistula that
presented with a huge pleural effusion as a complication of pancreatitis, and that was treated successfully with endoscopic nasopancreatic
drainage and pancreatic duct stenting. (Korean J Med 77:S1148-S1152, 2009) |
| Key Words:
Chronic Pancreatitis; Pancreaticopleural fistula; Pancreatic ductal stent |
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