Pancreatico-Pleural Fistula – from Diagnosis to Management. A Case Report
Catalina Mihai1,2, Mariana Floria1,3, Radu Vulpoi1,2, Loredana Nichita1,2, Cristina Cijevschi Prelipcean1,2, Vasile Drug1,2, Viorel Scripcariu1,4
1) Grigore T. Popa University of Medicine and Pharmacy Iași,
2) Gastroenterology and Hepatology Institute, Sf. Spiridon Emergency Hospital Iași,
3) III Medical Clinic, Sf. Spiridon Emergency Hospital Iași,
4) Regional Institute of Oncology, Iași, Romania
Pancreatic pseudocysts are frequent complications of both acute and chronic pancreatitis. By contrast, pancreatico-pleural fistula is rare. Here we report a case of massive pleural effusion secondary to a fistula in the left hemi-diaphragm, between a pancreatic pseudocyst and the left pleura, in a patient with a right kidney tumor and bilateral massive pulmonary thromboembolism. This fistula developed after several episodes of un-investigated acute pancreatitis. The pleural effusion was treated by three thoracocenteses, without recurrence. Key words: pancreatico-pleural fistula – pancreatic pseudocyst – pleural effusion. Abreviations: CT: computer tomography; TTE: transthoracic echocardiography.