Chronic Pancreaticopleural Fistulas

1 October 1984

journal article
case report
Published by American Medical Association (AMA) in Archives of Surgery

Vol. 119 (10) , 1204-1206
https://doi.org/10.1001/archsurg.1984.01390220078018

Abstract

• We report two cases of chronic pancreaticopleural fistulas occurring in chronic pancreatitis. In both cases the primary clinical manifestation was a recurrent left pleural effusion with a high content of pancreatic amylase. The pleural effusion was associated with subcutaneous fat necrotic lesions in one patient, and with expectoration of an amylase-rich fluid in the other. Endoscopic retrograde cholangiopancreatography is important because this examination allows a precise evaluation of the ductal morphology and is indispensable to the surgical procedure. We recommend surgical treatment when the fistula does not close spontaneously within two weeks. Both patients were successfully treated by surgery. (Arch Surg 1984;119:1204-1206)

Keywords

This publication has 1 reference indexed in Scilit:

Pancreatic Ascites
Published by Springer Nature ,1990