Scotte M, Poli P, Testart J, Le Blanc I, Galerneau V, Michot F, Tenière P
Service de Chirurgie Générale et Digestive, Hôtel-Dieu, Rouen.
Ann Chir. 1990;44(3):212-5.
Seven patients presented with a pancreatic pleural fistula in the context of chronic pancreatitis. The diagnosis was made by analysis of the pleural effusion and by endoscopic retrograde pancreatography which opacified the fistula in six cases. Surgical procedure (five resections, one Roux-en-Y drainage and one resection associated with Roux-en-Y drainage) was guided by the morphology of the pancreatic duct and the presence of pseudocysts. All patients were successfully treated by surgery.
7例患者在慢性胰腺炎背景下出现胰胸膜瘘。通过对胸腔积液的分析以及内镜逆行胰胆管造影术(6例患者的瘘管显影)做出诊断。手术方式(5例切除术、1例Roux-en-Y引流术以及1例切除术联合Roux-en-Y引流术)根据胰管形态和假性囊肿的情况而定。所有患者均通过手术成功治愈。