Endoscopic treatment of wirsungo-cysto-pleural fistula.
A case is reported of a female with chronic alcoholic calcifying pancreatitis who presented with a wirsungo-cysto-pleural fistula. Endoscopic retrograde pancreatography demonstrated the fistulous tract and a naso-pancreatic drain was inserted. Subsequently, this drain was replaced by a pancreatic endoprosthesis. This endoscopic therapy led to full resolution of the fistula. We suggest that endoscopic intervention is the first-line treatment for this condition and that surgical intervention should be reserved as a second-line treatment.
Hastier
P
P
Fédération des Maladies de l'Appareil Digestif, Hôpital de l'Archet II, Nice, France.
Rouquier
P
P
Buckley
M
M
Simler
J M
JM
Dumas
R
R
Delmont
J P
JP
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D010192:Pancreatic Pseudocyst / Q000150:complications; D010195:Pancreatitis / Q000150:complications*; D010995:Pleural Diseases / Q000150:complications*; D010996:Pleural Effusion / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D019736:Prostheses and Implants; D016156:Respiratory Tract Fistula / Q000150:complications*