Pancreaticopleural fistula: a case report

  • Bikas Thapa TUTH, Kathmandu, Nepal
  • Nirajan Subedi TUTH, Kathmandu, Nepal
  • Ramesh S. Bhandari TUTH, Kathmandu, Nepal
Keywords: Chronic pancreatitis, Pancreaticopleural fistula (PPF)

Abstract

Pancreaticopleural fistula is a diagnostic challenge to physicians. The diagnosis should be suspected if a patient presents with pleural effusion in a setting of chronic pancreatitis. The significantly raised amylase in the pleural fluid offers an important clue to the diagnosis. Computed Tomography (CT), Endoscopic retrograde cholangiopancreatography (ERCP) and Magnetic resonance cholangiopancreatography (MRCP) can reveal the fistulous tract between the pancreas and the pleural space. The therapeutic options include medical, endoscopic, as well as surgical interventions. Here we report a case of pancreaticopleural fistula in a chronic alcoholic that was treated successfully by medical management.

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Author Biographies

Bikas Thapa, TUTH, Kathmandu, Nepal

Department of GI Surgery

Nirajan Subedi, TUTH, Kathmandu, Nepal

Department of GI Surgery

Ramesh S. Bhandari, TUTH, Kathmandu, Nepal

Department of GI Surgery

Published
2018-09-30
How to Cite
Thapa, B., Subedi, N., & Bhandari, R. (2018). Pancreaticopleural fistula: a case report. Journal of Chitwan Medical College, 8(3), 73-75. https://doi.org/10.3126/jcmc.v8i3.23756
Section
Case Reports