经磁共振胰胆管造影诊断为伴有胰胸膜瘘的胰腺胸膜腔积液，并经生长抑素类似物治疗治愈。

Pancreatic pleural effusion with a pancreaticopleural fistula diagnosed by magnetic resonance cholangiopancreatography and cured by somatostatin analogue treatment.

作者信息

Akahane T, Kuriyama S, Matsumoto M, Kikuchi E, Kikukawa M, Yoshiji H, Masui K, Fukui H

机构信息

Third Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.

出版信息

Abdom Imaging. 2003 Jan-Feb;28(1):92-5. doi: 10.1007/s00261-001-0144-2.

DOI:10.1007/s00261-001-0144-2

PMID:12483394

Abstract

A 69-year-old man with chronic alcoholic pancreatitis developed a left-sided massive pleural effusion. Magnetic resonance cholangiopancreatography clearly demonstrated the pancreatic cyst and the fistula connecting the cyst with the left pleural cavity, resulting in the diagnosis of pancreatic pleural effusion with a pancreaticopleural fistula. Conservative somatostatin analogue treatment completely eradicated the pancreatic pleural effusion and closed the pancreaticopleural fistula.

摘要

一名患有慢性酒精性胰腺炎的69岁男性出现左侧大量胸腔积液。磁共振胰胆管造影清晰显示胰腺囊肿以及连接囊肿与左胸腔的瘘管，从而诊断为伴有胰胸膜瘘的胰腺胸腔积液。采用生长抑素类似物进行保守治疗后，胰腺胸腔积液完全消除，胰胸膜瘘闭合。