title: Internal pancreatic fistula in a child with pancreas divisum: An unusual manifestation of an uncommon anomaly.
abstract: OBJECTIVE
  Report of an unusual case of pancreatic fistula in a child.
  
  
  BACKGROUND
  Pancreatic diseases are relatively uncommon in the pediatric age group, with a rather heterogeneous clinical picture from generic abdominal distension to massive pleural effusion.
  
  
  CONCLUSIONS
  The amylase analysis of pleural liquid is crucial for the etiologic diagnosis of pancreatitis with internal pancreatic fistula. Magnetic resonance cholangiopancreatography may support the etiologic diagnosis of pancreatic pleural fistula in children. Management of internal pancreatic fistula is analyzed.
  
  
  CONCLUSIONS
  Maintaining a high index of suspicion is essential for the etiologic diagnosis of pancreatic pleural fistula in children.
authors.affiliation: Department of Anesthesia and Intensive Care, Pediatric Intensive Care Unit, Ospedali Riuniti, Bergamo, Italy.
authors.forename: Mirco
authors.initials: M
authors.lastname: Nacoti
authors.forename: Luca
authors.initials: L
authors.lastname: Riva
authors.forename: Sergio
authors.initials: S
authors.lastname: Vedovati
authors.forename: Alessandra
authors.initials: A
authors.lastname: Bolis
authors.forename: Roberto
authors.initials: R
authors.lastname: Agazzi
authors.forename: Roberto
authors.initials: R
authors.lastname: Fumagalli
mesh_terms: D000681:Amylases / Q000032:analysis; D049448:Cholangiopancreatography, Magnetic Resonance; D004322:Drainage; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D008297:Male; D015282:Octreotide / Q000627:therapeutic use; D010179:Pancreas / Q000002:abnormalities*; D010185:Pancreatic Fistula / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010195:Pancreatitis / Q000150:complications; D010289:Parenteral Nutrition, Total; D010996:Pleural Effusion / Q000201:enzymology / Q000209:etiology
chemical_list: D005765:Gastrointestinal Agents; D000681:Amylases; D015282:Octreotide