Pancreatic pseudocyst causing portal vein thrombosis and pancreatico-pleural fistula.
Portal vein thrombosis and pancreatico-pleural fistula are unusual complications of chronic pancreatitis. We describe a patient with chronic alcoholic pancreatitis in whom erosion of the splenic vein led to portal vein thrombosis and to the development of a pancreatico-pleural fistula. We suggest that fistula formation may occur over a considerable time period as the portal vein thrombosis was diagnosed three years before the amylase-rich pleural effusions.
McCormick
P A
PA
Academic Department of Medicine, Royal Free Hospital School of Medicine, London.
Chronos
N
N
Burroughs
A K
AK
McIntyre
N
N
McLaughlin
J E
JE
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000473:pathology; D010181:Pancreatic Cyst / Q000150:complications*; D010185:Pancreatic Fistula / Q000209:etiology* / Q000473:pathology; D010192:Pancreatic Pseudocyst / Q000150:complications*; D010195:Pancreatitis / Q000150:complications; D010995:Pleural Diseases / Q000209:etiology*; D011169:Portal Vein; D013927:Thrombosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed