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Wypych K, Serafin Z, Gałązka P, et al. Pancreaticopleural fistulas of different origin: Report of two cases and a review of literature. Pol J Radiol. 2011;76(2):56-60
Wypych, K., Serafin, Z., Gałązka, P., Strześniewski, P., Matuszczak, W., Nierzwicka, K., Lasek, W., Prokurat, A. I., & Bąk, M. (2011). Pancreaticopleural fistulas of different origin: Report of two cases and a review of literature. Polish journal of radiology, 76(2), 56-60.
Wypych, Katarzyna, et al. "Pancreaticopleural fistulas of different origin: Report of two cases and a review of literature." Polish journal of radiology vol. 76,2 (2011): 56-60.
Wypych K, Serafin Z, Gałązka P, Strześniewski P, Matuszczak W, Nierzwicka K, Lasek W, Prokurat AI, Bąk M. Pancreaticopleural fistulas of different origin: Report of two cases and a review of literature. Pol J Radiol. 2011 Apr;76(2):56-60. PMID: 22802835; PMCID: PMC3389915.
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Pol J Radiol. 2011 Apr;76(2):56-60.

Pancreaticopleural fistulas of different origin: Report of two cases and a review of literature.

Polish journal of radiology

Katarzyna Wypych, Zbigniew Serafin, Przemysław Gałązka, Piotr Strześniewski, Włodzimierz Matuszczak, Katarzyna Nierzwicka, Władysław Lasek, Andrzej I Prokurat, Marek Bąk

Affiliations

  1. Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.

PMID: 22802835 PMCID: PMC3389915

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.

Keywords: acute pancreatitis; pancreaticopleural fistula; pleural effusion; splenectomy

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