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KMID : 0364020090420020263
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 2 p.263 ~ p.267
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Pancreatico-pleural Fistula: A Rare Cause of Hemorrhagic Pleural Effusion
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Yu Jeong-Hwan
Yu Jae-Hyeon
Lim Seung-Pyung
Kim Yong-Ho
Lee Young
Kang Shin-Kwang
Chun Kwang-Sik
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Abstract
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A pancreatico-pleural fistula (PPF), caused by rupture of a pancreatic pseudocyststectomy or obstruction of the pancreatic duct, is a rare condition. A 48-year-old man with chronic alcoholism was admitted with a massive pleural effusion. Pleural fluid studies revealed elevated amylase and lipase. A PPF complicated by a ruptured pancreatic pseudocyststectomy was diagnosed by computerized tomography scan. Although the symptoms improved with conservative management, (chest tube drainage, NPO, total parenteral nutrition, and a pancreatic secretion inhibitor), a distal pancreatectomy, including a pseudocystectomy and thoracotomy, were performed for an increasing size of the hemorrhagic pancreatic pseudocyststectomy and a recurrent hemorrhagic pleural effusion. There were no post-operative complications and the patient was discharged on post-operative day 27.
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KEYWORD
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Pleural effusion, Fistula, Pancreatic cyst
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