Pancreatopleural Fistula Secondary to Chronic Pancreatitis
Keywords:
pancreatitis, pancreatic fistula, pleural effusion.Abstract
Introduction: A pancreatic fistula is considered any abnormal communication between a pancreatic duct and another epithelial surface with the extravasation of fluid rich in pancreatic enzymes.
Objective: To describe the experience in diagnosis and therapeutic management in a patient with non-iatrogenic pancreatic fistula.
Case report: The case of a male patient with history of chronic pancreatitis of alcohol origin is reported. This individual had symptoms of acute respiratory failure, abdominal pain and fever.
Conclusions: Pancreatopleural fistulas are not frequent entities, however they should be suspected in any case of right pleural effusion after manipulation of the pancreatic gland, retroperitoneal invasive procedures and/or history of pancreatitis. This case had favorable resolution with minimally invasive therapy (thoracentesis), use of octreotide and antibiotic therapy.
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