A Rare Case of Pancreaticopleural Fistula That Presented as a Recurrent Pleural Effusion at a Regional Hospital in Guyana.
Autor: | Thakoordeen R; General Surgery, New Amsterdam Regional Hospital, Berbice, GUY., Rampersaud M; General Surgery, New Amsterdam Regional Hospital, Berbice, GUY., Algu TK; Department of Surgery, New Amsterdam Regional Hospital, Berbice, GUY. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2024 May 30; Vol. 16 (5), pp. e61357. Date of Electronic Publication: 2024 May 30 (Print Publication: 2024). |
DOI: | 10.7759/cureus.61357 |
Abstrakt: | Pancreaticopleural fistula is a rare complication of pancreatitis. We present a rare case of pancreaticopleural fistula in a 43-year-old alcoholic male. He presented with recurrent episodes of left pleural effusion that were managed with aspiration and chest tube placement. An MRI of the chest and upper abdomen revealed a pancreaticopleural fistula. The patient underwent distal pancreatectomy with splenectomy and Roux-en-Y pancreaticojejunostomy. The surgical approach was our first-line management due to the unavailability of octreotide and endoscopic retrograde cholangiopancreatography. His recovery was complicated by an empyema that was managed by tube thoracostomy and IV antibiotics. There was no issue detected at his 3-month follow-up clinic visit. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Thakoordeen et al.) |
Databáze: | MEDLINE |
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