Pancreaticopleural fistula visualized by computed tomography scan combined with pancreatography.
BACKGROUND
We report a case of a pancreaticopleural fistula which was clearly demonstrated by computed tomography (CT) scan following pancreatography and which was successfully treated with endoscopic nasopancreatic drainage combined with octreotide.


METHODS
A 52-year-old male was admitted to our hospital for additionally evaluation of bilateral pleural effusion. The pleural fluid amylase level was markedly elevated. Endoscopic retrograde pancreatography showed a cyst in the body of the pancreas and extravasation of contrast medium extending cranially from the cyst. The disease was treated successfully with endoscopic nasopancreatic drainage combined with the administration of octreotide. A pancreaticopleural fistulous route was clearly demonstrated by CT scan following pancreatography through the nasopancreatic drainage tube.


CONCLUSIONS
A CT scan following pancreatography was useful in demonstrating a pancreaticopleural fistulous route.
Fujiwara
Takashi
T
Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Kamisawa
Terumi
T
Fujiwara
Junko
J
Tu
Yuyang
Y
Nakajima
Hitoshi
H
Egawa
Naoto
N
D004322:Drainage; D005402:Fistula / Q000188:drug therapy / Q000532:radiotherapy* / Q000628:therapy; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D015282:Octreotide / Q000627:therapeutic use; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000628:therapy; D010995:Pleural Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D005765:Gastrointestinal Agents; D015282:Octreotide