[A rare complication of chronic pancreatitis: pancreatico-pleural fistula]. / Une complication rare d'une pancréatite chronique: la fistule pancréatico-pleurale.
Rev Pneumol Clin
; 59(4): 205-8, 2003 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-14699297
ABSTRACT
Pleural effusion is a rare complication of chronic pancreatitis. We report a case observed in a 39-year-old patient hospitalized for dyspnea and pain in the lower left thorax. Chest x-ray revealed left pleural effusion. The exudative pleural fluid contained a very high amylase level. CT-scan revealed a pseudo-cyst of the tail of the pancreas extending into contact with the diaphragm and the chronic pancreatitis lesions. Medical treatment associating thoracic drainage, somatostatin analog, and antibiotics was unsuccessful. Thoracoscopic pleural decortication was performed. The patient then developed pneumonia involving the left base. A new antibiotic regimen was delivered and the pseudocyst was drained percutaneously under CT guidance. The clinical course was favorable at six months with partial involution of the pseudocyst and regression of the pulmonary images.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Doenças Pleurais
/
Fístula do Sistema Respiratório
/
Fístula Pancreática
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Pneumol Clin
Ano de publicação:
2003
Tipo de documento:
Article