Chmielecki Jan, Kościński Tomasz, Banasiewicz Tomasz
Department of General, Endocrinological and Gastroenterological Surgery, Poznań University of Medical Sciences, Poland.
Case Rep Surg. 2021 Mar 2;2021:6615612. doi: 10.1155/2021/6615612. eCollection 2021.
A pancreaticopleural fistula is a rare cause of pleural effusion. It is a complication of chronic or acute pancreatitis. It is rarely formed to the right or both pleural cavities. Diagnosis and proper treatment often turn out to be difficult and require the cooperation of a multidisciplinary team. The authors present the case of a 59-year-old patient treated for recurrent pleural effusion of unknown origin, first to the left and then to the right pleural cavity. After many months of treatment, the diagnosis of a pancreaticopleural fistula was made. The patient underwent surgery, which finally led to a successful complete recovery. Pancreaticopleural fistula should always be considered in patients with pleural effusion of unknown origin.
胰胸膜瘘是胸腔积液的一种罕见病因。它是慢性或急性胰腺炎的一种并发症。很少形成于右侧或双侧胸腔。诊断和恰当治疗往往颇具难度，需要多学科团队的协作。作者报告了一例59岁患者，该患者因不明原因的复发性胸腔积液接受治疗，积液起初出现在左侧胸腔，之后出现在右侧胸腔。经过数月治疗，最终诊断为胰胸膜瘘。患者接受了手术，最终成功完全康复。对于不明原因胸腔积液的患者，应始终考虑胰胸膜瘘的可能。
