Pancreaticopleural fistula

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

American Journal of the Medical Sciences Pub Date : 2025-04-01 DOI:10.1016/j.amjms.2024.11.014

Abhinav K. Rao MD , Levi Diggins DO , Brett Van-Leer Greenberg MD , James Ravenel MD , Don C. Rockey MD

引用次数: 0

Abstract

A pancreatic fistula is defined as the leakage of pancreatic fluid into another organ or compartment because of pancreatic duct disruption or pseudocyst formation. It is most often seen in middle-aged men between 40 and 50, particularly in patients who have a history of chronic alcoholism and pancreatitis. The tract may fistulae into the pleura, creating a pancreaticopleural fistula, an exceedingly rare condition presenting as a recurrent pleural effusion and extremely high amylase levels, a key distinguishing factor in diagnosis. Here, we present such a case of a recurrent pancreaticopleural fistula and review the presentation, pathophysiology, diagnosis and treatment.

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胰胸膜瘘：病例报告及文献复习。

胰瘘的定义是由于胰管破裂或假性囊肿形成而导致的胰液渗漏到另一器官或隔室。最常见于40至50岁的中年男性，特别是有慢性酒精中毒和胰腺炎病史的患者。该导管可瘘入胸膜，形成胰胸膜瘘，这是一种极其罕见的疾病，表现为反复胸腔积液和极高的淀粉酶水平，这是诊断的关键区分因素。在此，我们报告一例复发性胰胸膜瘘，并回顾其表现、病理生理、诊断和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of the Medical Sciences 医学-医学：内科

CiteScore

4.40

自引率

0.00%

发文量

303

审稿时长

1.5 months

期刊介绍： The American Journal of The Medical Sciences (AJMS), founded in 1820, is the 2nd oldest medical journal in the United States. The AJMS is the official journal of the Southern Society for Clinical Investigation (SSCI). The SSCI is dedicated to the advancement of medical research and the exchange of knowledge, information and ideas. Its members are committed to mentoring future generations of medical investigators and promoting careers in academic medicine. The AJMS publishes, on a monthly basis, peer-reviewed articles in the field of internal medicine and its subspecialties, which include: Original clinical and basic science investigations Review articles Online Images in the Medical Sciences Special Features Include: Patient-Centered Focused Reviews History of Medicine The Science of Medical Education.