Two Patients with Chronic Pancreatitis Complicated by a Pancreaticopleural Fistula
| Autor: | Jordy J. S. Kiewiet, Laurens Th de Wit, Marlous Moret, Willem L. Blok, Michael F. Gerhards |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Pancreatic duct
medicine.medical_specialty Magnetic resonance cholangiopancreatography medicine.diagnostic_test business.industry Pleural effusion Gastroenterology Octreotide medicine.disease Pancreaticopleural fistula Surgery Disease course Treatment medicine.anatomical_structure Published: April 2009 medicine Pancreatitis In patient lcsh:Diseases of the digestive system. Gastroenterology Radiology lcsh:RC799-869 business Chronic pancreatitis medicine.drug |
| Zdroj: | Case Reports in Gastroenterology, Vol 3, Iss 1, Pp 36-42 (2009) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| Popis: | Two patients presented with dyspnea and signs of chronic pancreatitis. Patient B had pleural effusion on chest X-ray. Patient A developed pleural effusion during the course of disease. On further analysis these pleural effusions showed elevated amylase concentrations. This finding suggested the diagnosis of a pancreaticopleural fistula which was confirmed by magnetic resonance cholangiopancreatography. Because of the distinct localization of the fistulas the patients were treated differently. In patient A an endoprosthesis was successfully placed in the pancreatic duct, and patient B underwent distal pancreatic resection. Considering the rarity of pancreaticopleural fistula, there is no consensus on diverse aspects of treatment, such as length of treatment with octreotide. However, a rationale for the distinction between fistulas suited for treatment with endoprosthesis or surgery seems to provide some grip. |
| Databáze: | OpenAIRE |
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