title: Endoscopic treatment of wirsungo-cysto-pleural fistula.
abstract: 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.
authors.affiliation: Fédération des Maladies de l'Appareil Digestif, Hôpital de l'Archet II, Nice, France.
authors.forename: P
authors.initials: P
authors.lastname: Hastier
authors.forename: P
authors.initials: P
authors.lastname: Rouquier
authors.forename: M
authors.initials: M
authors.lastname: Buckley
authors.forename: J M
authors.initials: JM
authors.lastname: Simler
authors.forename: R
authors.initials: R
authors.lastname: Dumas
authors.forename: J P
authors.initials: JP
authors.lastname: Delmont
mesh_terms: 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*