title: [A case of pancreatic carcinoma presenting as pancreaticopleural fistula with pancreatic pleural effusion].
abstract: A 63-year-old man was admitted with left pleural effusion, and an amylase level of 30994IU/l. A diagnosis of pancreaticopleural fistula was made, based on the findings of magnetic resonance cholangiopancreatography and endoscopic retrograde pancreatography (ERP). After the placement of an endoscopic naso-pancreatic drainage tube, the pleural effusion markedly reduced. When ERP was performed for internal drainage, the main pancreatic duct and stricture were biopsied and showed pancreatic ductal adenocarcinoma histologically. CT revealed a mass in the head of the pancreas. He underwent pylorus-preserving pancreaticoduodenectomy. To the best of our knowledge this is the first case of pancreatic carcinoma presenting as pancreaticopleural fistula with pancreatic pleural effusion. Clinicians should pay attention to the possible presence of cancer and pancreaticopleural fistula in patients with pancreatic pleural effusion.
authors.affiliation: Department of Gastroenterology and Hematology/Oncology, Asahikawa Medical College, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Sugiyama
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tanno
authors.forename: Tomoya
authors.initials: T
authors.lastname: Nishikawa
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Nakamura
authors.forename: Junpei
authors.initials: J
authors.lastname: Sasajima
authors.forename: Kazuya
authors.initials: K
authors.lastname: Koizumi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Mizukami
authors.forename: Hidenori
authors.initials: H
authors.lastname: Karasaki
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kasai
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Yoshida
authors.forename: Naomi
authors.initials: N
authors.lastname: Watanabe
authors.forename: Toshikatsu
authors.initials: T
authors.lastname: Okumura
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kohgo
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005402:Fistula / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis*; D010995:Pleural Diseases / Q000175:diagnosis*; D010996:Pleural Effusion / Q000150:complications*