Pancreaticopleural Fistulas of Different Origin: Report of Two Cases and a Review of Literature

Overview

Journal Pol J Radiol

Publisher Termedia

Specialty Radiology

Date 2012 Jul 18

PMID 22802835

Citations 13

Authors

Katarzyna Wypych

Zbigniew Serafin

Przemyslaw Galazka

Piotr Strzesniewski

Wlodzimierz Matuszczak

Katarzyna Nierzwicka

Wladyslaw Lasek

Andrzej I Prokurat

Marek Bak

Affiliations

Soon will be listed here.

Abstract

Background: Pancreaticopleural fistula (PPF), a form of internal pancreatic fistula, is a rare complication of acute or chronic pancreatitis or pancreatic trauma.

Case Report: We report two cases of PPF resulting in formation of pleural pancreatic pseudocysts. A 35-year-old male alcoholic patient with a history of recurrent episodes of acute pancreatitis was admitted due to a severe dyspnea. A CT scan showed a significant left pleural effusion with a total left lung atelectasis, compression of the mediastinum, and dislocation of the left diaphragm. A follow-up CT showed a fistula between the abdominal pancreatic pseudocyst and the left pleural cavity. The second case was a 13-year-old male patient, who was admitted for a splenic stump excision. Two weeks after the surgery the patient presented a massive pleural amylase-rich effusion. CT exam suggested a PPF, which was indirectly confirmed by a thoracoscopy.

Conclusions: PPF should be considered in cases of massive pleural effusion and encapsulated pleural fluid collections in patients with a history of acute pancreatitis and surgery involving pancreas.

Citing Articles

Pancreaticopleural fistula causing recurrent bilateral pleural effusions: A case report.

Liu R, Su R, Yan H, Zhu H, Zhang N Medicine (Baltimore). 2024; 103(51):e41029.

PMID: 39705491 PMC: 11666130. DOI: 10.1097/MD.0000000000041029.

Pancreaticopleural fistula causing pleural effusion: a case report and review of the literature.

Khadka M, Bhusal S, Pantha B, Gautam R, Gautam K, Chaudhary A J Med Case Rep. 2024; 18(1):131.

PMID: 38549170 PMC: 10979574. DOI: 10.1186/s13256-024-04457-8.

Case Report: Pancreaticopleural fistula with an atypical tract in a child with bulging chest.

Shang Z, Hong C, Liu C Front Pediatr. 2023; 11:1278463.

PMID: 38027294 PMC: 10643546. DOI: 10.3389/fped.2023.1278463.

Case Series of MRI and CT Assessment of Acquired Hepato-Biliary and Pancreatic Transdiaphragmatic Fistulae.

Picchi S, Lassandro G, Comune R, Pezzullo F, Fiorini V, Lassandro F Tomography. 2023; 9(4):1356-1368.

PMID: 37489476 PMC: 10366742. DOI: 10.3390/tomography9040108.

Three cases of black pleural effusion.

Del Prado-Rico C, Hayes R, Mohamed N, Leonard R, Chapman K Respir Med Case Rep. 2023; 44:101874.

PMID: 37260562 PMC: 10227376. DOI: 10.1016/j.rmcr.2023.101874.

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