胰胸膜瘘：胰腺炎的一种罕见并发症。
Pancreaticopleural fistula: an unusual complication of pancreatitis.
作者信息
Francisco Elsa, Mendes Miguel, Vale Sílvio, Ferreira Joana
机构信息
CHVNG/E, Porto, Portugal.
出版信息
BMJ Case Rep. 2015 Feb 12;2015:bcr2014208814. doi: 10.1136/bcr-2014-208814.
Abstract
Pancreaticopleural fistula is an uncommon complication of pancreatitis. The authors describe a case of a man in his mid-40s with a history of alcohol abuse, who presented with dyspnoea and whose chest X-ray revealed a massive left pleural effusion. Further diagnostic work up revealed a pancreaticopleural fistula. There was no improvement with a conservative approach and endoscopic treatment was not feasible, leading to the need for a surgical intervention.
摘要
胰胸膜瘘是胰腺炎一种不常见的并发症。作者描述了一例45岁左右有酗酒史的男性病例，该患者出现呼吸困难，胸部X光显示左侧大量胸腔积液。进一步的诊断检查发现了胰胸膜瘘。保守治疗无效且内镜治疗不可行，因此需要进行手术干预。
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