A pancreatic pseudocyst with pancreatic pleural effusion: report of a case.
A 54-year-old man with a 30-year history of chronic alcoholism was admitted to our hospital suffering from dyspnea and left-sided chest pain. A chest radiograph revealed pleural effusion. Computed tomography revealed a pancreatic pseudocyst in the tail of the pancreas spreading out to the posterior mediastinum and the left pleural cavity. The laboratory findings of pleural effusion were as follows: amylase, 118,400 IU/1; protein, 4.6 g/dl; class I in cytology. Despite a reduction in the pleural effusion by conservative therapy, left back pain and a recurrence of the pleural effusion were observed after oral intake was re-initiated. A distal pancreatectomy and ligation of the pancreaticopleural fistula were thus performed on the 75th hospital day. The patient made a complete recovery from pancreatic pleural effusion and has now been well for 9 years.
Yanagië
H
H
Department of Surgery, University of Tokyo, Japan.
Tani
T
T
Sairennji
T
T
Ogata
M
M
Eriguchi
M
M
D002908:Chronic Disease; D005402:Fistula / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy; D010185:Pancreatic Fistula / Q000150:complications / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000150:complications; D010995:Pleural Diseases / Q000150:complications / Q000601:surgery; D010996:Pleural Effusion / Q000150:complications* / Q000628:therapy; D012008:Recurrence; D014057:Tomography, X-Ray Computed