Poulsen Anja, Sigild Ulf Henrik
Kirurgisk Afdeling, Helsingør Hospital, Denmark.
Ugeskr Laeger. 2011 Feb 21;173(8):588-9.
Pancreaticopleural fistula is a condition in which pancreatitic enzymes drain into the pleural cavity. It is a complication of pancreatic disease and usually presents with thoracic rather than abdominal symptoms. Although unusual, it should be included in the differential diagnosis to substantial and persistent unilateral pleural effusion. We report the case of a 71-year-old man who presented with dyspnoea. During two months, the patient underwent pulmonary evaluation before the pancreas was identified as the site of primary pathology. The key to the diagnosis was an elevated level of pleural fluid amylase.
胰胸膜瘘是一种胰腺酶排入胸腔的病症。它是胰腺疾病的一种并发症，通常表现为胸部而非腹部症状。尽管不常见，但对于大量且持续的单侧胸腔积液，在鉴别诊断时应考虑到这种情况。我们报告一例71岁男性患者，该患者因呼吸困难就诊。在两个月的时间里，患者在胰腺被确定为主要病变部位之前接受了肺部评估。诊断的关键是胸腔积液淀粉酶水平升高。
