Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention
A 49-year-old male with history of chronic alcohol-induced pancreatitis presented with one month of worsening left pleuritic chest pain and shortness of breath. Chest radiograph demonstrated bilateral pleural effusions. Thoracentesis revealed increased amylase in the pleural fluid. Computed tomograp...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/7589451 |
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| author | Ali Kord Valeshabad Jennifer Acostamadiedo Lekui Xiao Winnie Mar Karen L. Xie |
| author_facet | Ali Kord Valeshabad Jennifer Acostamadiedo Lekui Xiao Winnie Mar Karen L. Xie |
| author_sort | Ali Kord Valeshabad |
| collection | DOAJ |
| description | A 49-year-old male with history of chronic alcohol-induced pancreatitis presented with one month of worsening left pleuritic chest pain and shortness of breath. Chest radiograph demonstrated bilateral pleural effusions. Thoracentesis revealed increased amylase in the pleural fluid. Computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) showed a fistula tract between the left pleural cavity and pancreas which was confirmed on endoscopic retrograde cholangiopancreatography (ERCP). Patient was treated with placement of a pancreatic stent with complete resolution of the fistula tract approximately in 9 weeks. A systematic literature search was performed on reported cases with pancreaticopleural fistula (PPF) who underwent early therapeutic endoscopy within the last 10 years. Imaging modalities, particularly CT and MRCP, play essential role in prompt preprocedural diagnosis of PPF. Early therapeutic ERCP is an effective and relatively safe treatment option for PPF, so invasive surgery may be avoided. |
| format | Article |
| id | doaj-art-4b842b911cae420dbdd7c649fcd7e59d |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-4b842b911cae420dbdd7c649fcd7e59d2025-02-03T01:13:13ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/75894517589451Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic InterventionAli Kord Valeshabad0Jennifer Acostamadiedo1Lekui Xiao2Winnie Mar3Karen L. Xie4Department of Radiology, University of Illinois at Chicago, USADepartment of Medicine, Mercy Hospital and Medical Center, Chicago, IL, USADepartment of Radiology, University of Illinois at Chicago, USADepartment of Radiology, University of Illinois at Chicago, USADepartment of Radiology, University of Illinois at Chicago, USAA 49-year-old male with history of chronic alcohol-induced pancreatitis presented with one month of worsening left pleuritic chest pain and shortness of breath. Chest radiograph demonstrated bilateral pleural effusions. Thoracentesis revealed increased amylase in the pleural fluid. Computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) showed a fistula tract between the left pleural cavity and pancreas which was confirmed on endoscopic retrograde cholangiopancreatography (ERCP). Patient was treated with placement of a pancreatic stent with complete resolution of the fistula tract approximately in 9 weeks. A systematic literature search was performed on reported cases with pancreaticopleural fistula (PPF) who underwent early therapeutic endoscopy within the last 10 years. Imaging modalities, particularly CT and MRCP, play essential role in prompt preprocedural diagnosis of PPF. Early therapeutic ERCP is an effective and relatively safe treatment option for PPF, so invasive surgery may be avoided.http://dx.doi.org/10.1155/2018/7589451 |
| spellingShingle | Ali Kord Valeshabad Jennifer Acostamadiedo Lekui Xiao Winnie Mar Karen L. Xie Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention Case Reports in Gastrointestinal Medicine |
| title | Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention |
| title_full | Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention |
| title_fullStr | Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention |
| title_full_unstemmed | Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention |
| title_short | Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention |
| title_sort | pancreaticopleural fistula a review of imaging diagnosis and early endoscopic intervention |
| url | http://dx.doi.org/10.1155/2018/7589451 |
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