Internal pancreatic fistula to the pericardium and pleura.
A report of a 38-year-old man with a 10 month course of illness characterized by recurrent pericardial and pleural high-protein, high-amylase effusions is presented. Operative pancreatogram demonstrated fistulization from the mid-pancreas through the mediastinum into both pleural spaces and the pericardium. Surgical detachment of the fistula and Roux-en-Y decompression of the pancreatic duct resulted in cure of the condition.
D000328:Adult; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000150:complications / Q000601:surgery*; D010496:Pericardium / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*