Hemothorax as the clinical presentation of a pancreaticopleural fistula: report of a case.
Pancreaticopleural fistula is a rare complication of acute pancreatitis with pancreatic pseudocyst. We report the case of a 39-year-old man admitted for respiratory distress. Chest X-ray showed a pleural effusion, and thoracentesis yielded bloody fluid. Computed tomography (CT) scan showed a multiloculated pleural effusion and sagittal reconstruction revealed a fistulous tract between the pleura and a pancreatic pseudocyst. We treated the acute hemothorax complicating the pancreaticopleural fistula by performing urgent thoracotomy with the evacuation of blood and clots and lung decortication. We also gave the patient somatostatin and performed endoscopic retrograde cholangiopancreatography with sphincterotomy, and placed a pancreatic stent. The patient recovered well.
Boudaya
Mohamed Sadok
MS
Unité de Chirurgie Thoracique, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Université Paris V, Paris, 1 place du Parvis Notre Dame, 75181, Paris, Cedex 04, France.
Alifano
Marco
M
Baccari
Sonia
S
Regnard
Jean-François
JF
D000208:Acute Disease; D000328:Adult; D006491:Hemothorax / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000209:etiology* / Q000628:therapy; D010192:Pancreatic Pseudocyst / Q000209:etiology* / Q000628:therapy; D010195:Pancreatitis / Q000150:complications* / Q000628:therapy; D010995:Pleural Diseases / Q000209:etiology* / Q000628:therapy; D016156:Respiratory Tract Fistula / Q000209:etiology* / Q000628:therapy