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KMID : 0383820140760050240
Tuberculosis and Respiratory Diseases
2014 Volume.76 No. 5 p.240 ~ p.244
Pancreaticothoracic Fistula Presenting with Hemoptysis and Pneumothorax in a Chronic Alcoholic Patient
Lee Si-Nae

Lee Kyung-Hee
Chung Seok
Nam Hae-Sung
Cho Jae-Hwa
Ryu Jeong-Seon
Kwak Seung-Min
Abstract
Pancreaticothoracic fistula is a rare complication of acute or chronic alcoholic pancreatitis. It may present with various symptoms, like dyspnea, abdominal pain, cough, chest pain, fever, back pain, hemoptysis, fatigue, or orthopnea. Pancreaticothoracic fistula can be detected by magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), or computed tomography. MRCP has high sensitivity and fewer side effects, and thus it has recently been recommended as the first choice for the detection of pancreaticothoracic fistula. On the other hand, ERCP enables the detection and treatment of pancreaticothoracic fistula and allows for stent insertion; for this reason it is a commonly used modality in pancreaticothoracic fistula cases. Herein, the authors describe a case of pancreaticothoracic fistula detected by ERCP and MRCP that manifested only respiratory symptoms, namely hemoptysis and pneumothorax without abdominal pain, which commonly accompanies pancreatitis.
KEYWORD
Pancreatic Fistula, Hemoptysis, Pneumothorax, Cholangiopancreatography, Endoscopic Retrograde, Cholangiopancreatography, Magnetic Resonanceatic
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