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胰胸膜瘘:双侧胸腔积液和肺陷闭的罕见表现

Pancreaticopleural Fistula: A Rare Presentation of Bilateral Pleural Effusions and Trapped Lung.

作者信息

Ali Myra, MacDonald Madeline, Bui Aileen, Zhang Kevin, Kim Jin Sun, Cruz Amanda, González José Luis, Tsai Arnold

机构信息

Department of Medicine, Keck School of Medicine of University of California, Los Angeles, California, USA.

Division of General Internal Medicine, LAC+USC Medical Center, Los Angeles, California, USA.

出版信息

Case Rep Gastroenterol. 2022 Mar 28;16(1):148-153. doi: 10.1159/000521943. eCollection 2022 Jan-Apr.

DOI:10.1159/000521943
PMID:35528771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9035965/
Abstract

A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis secondary to a pancreatic pseudocyst or any disruption of the main pancreatic duct. It commonly presents as a recurrent left-sided pleural effusion after multiple thoracentesis. We present a rare case of a 41-year-old woman with numerous flares of chronic pancreatitis presenting with large bilateral serosanguinous pleural effusions and trapped lung secondary to a PPF. To our knowledge, this is the first documented case of a PPF leading to bilateral pleural effusions resulting in a trapped lung.

摘要

胰胸膜瘘(PPF)是慢性胰腺炎继发于胰腺假性囊肿或主胰管任何破裂后的一种罕见并发症。它通常表现为多次胸腔穿刺后反复出现的左侧胸腔积液。我们报告一例罕见病例,一名41岁女性,患有多次慢性胰腺炎发作,因胰胸膜瘘出现大量双侧血性胸腔积液和肺陷闭。据我们所知,这是首例有文献记载的因胰胸膜瘘导致双侧胸腔积液并引起肺陷闭的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/4c8285878d70/crg-0016-0148-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/6c5f0ecceaa3/crg-0016-0148-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/8081480ef99d/crg-0016-0148-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/4c8285878d70/crg-0016-0148-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/6c5f0ecceaa3/crg-0016-0148-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/8081480ef99d/crg-0016-0148-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8020/9035965/4c8285878d70/crg-0016-0148-g03.jpg

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本文引用的文献

1
Pancreaticopleural Fistula: A Rare Presentation and a Rare Complication.胰胸膜瘘:一种罕见的表现及罕见并发症
Cureus. 2019 Jun 24;11(6):e4984. doi: 10.7759/cureus.4984.
2
MANAGEMENT OF PANCREATICOPLEURAL FISTULAS SECONDARY TO CHRONIC PANCREATITIS.慢性胰腺炎继发胰胸膜瘘的管理
Arq Bras Cir Dig. 2017 Jul-Sep;30(3):225-228. doi: 10.1590/0102-6720201700030014.
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Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure.胰胸膜瘘导致大量右侧胸腔积液和呼吸衰竭。
Case Rep Surg. 2016;2016:8294056. doi: 10.1155/2016/8294056. Epub 2016 Sep 22.
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Diagnosis and Management of a Pancreaticopleural Fistula in a Patient with AIDS and a Large Pleural Effusion.
J Int Assoc Provid AIDS Care. 2016 Nov;15(6):459-462. doi: 10.1177/2325957416668578. Epub 2016 Sep 21.
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Pancreaticopleural fistula: a review.胰胸膜瘘:综述
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Diagnosis and management of pancreaticopleural fistula.胰腺胸膜瘘的诊断和处理。
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Bilateral pleural fluid caused by a pancreaticopleural fistula requiring surgical treatment.胰胸膜瘘导致双侧胸腔积液,需手术治疗。
Intern Med. 2012;51(18):2655-61. doi: 10.2169/internalmedicine.51.7859. Epub 2012 Sep 15.
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Unusual case of persistent unilateral pleural effusion secondary to pancreaticopleural fistula.胰胸膜瘘继发持续性单侧胸腔积液的罕见病例。
Int J Surg Case Rep. 2012;3(9):435-6. doi: 10.1016/j.ijscr.2012.04.018. Epub 2012 May 14.
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Pancreaticopleural fistula: revisited.胰胸膜瘘:再探讨
Diagn Ther Endosc. 2012;2012:815476. doi: 10.1155/2012/815476. Epub 2012 Jan 31.
10
Optimizing management of pancreaticopleural fistulas.优化胰胸膜瘘的管理。
World J Gastroenterol. 2011 Nov 14;17(42):4696-703. doi: 10.3748/wjg.v17.i42.4696.