[Pancreatico-pleural fistula. Clinical aspects and therapy of a rare disease entity].
We report of 2 patients with pancreatic-pleural fistulas in chronic pancreatitis. In both cases abdominal symptoms were missed, the primary clinical manifestation was a recurrent pleural effusion with a high content of amylase. Endoscopic retrograde cholangiopancreaticography is necessary for a precise evaluation of the fistula and is indispensable to the surgical therapy. Computed tomography and ultrasonography showed in both cases a pancreatic pseudocyst. Our recommendation is surgical therapy when the fistula is not closed spontaneously within 2 weeks. Both patients were successfully treated by a left pancreatectomy.
Köhler
H
H
Klinik und Poliklinik für Allgemeinchirurgie, Universität Göttingen.
Schafmayer
A
A
Lepsien
G
G
Peiper
H J
HJ
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000601:surgery*; D010195:Pancreatitis / Q000601:surgery; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D010996:Pleural Effusion / Q000601:surgery; D014057:Tomography, X-Ray Computed
Pancreatico-pleurale Fisteln. Beitrag zur Klinik und Therapie eines seltenen Krankheitsbildes.