Resolution of pancreatico-pleural fistula with endoscopic ultrasound-guided therapy
Abstract Pancreatico-pleural fistula is an uncommon cause of recurrent pleural effusion. Delayed diagnosis may occur if fluid amylase level is not obtained early in the clinical course. As most cases of pancreatico-pleural effusion are due to chronic pancreatitis, endoscopic therapy may be effective...
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| Veröffentlicht in: | Respiratory medicine case reports 2013-01, Vol.9, p.30-33 |
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| creator | Houlihan, M.D Bowyer, B.A Barclay, R.L |
| description | Abstract Pancreatico-pleural fistula is an uncommon cause of recurrent pleural effusion. Delayed diagnosis may occur if fluid amylase level is not obtained early in the clinical course. As most cases of pancreatico-pleural effusion are due to chronic pancreatitis, endoscopic therapy may be effective if pancreatic fluid secretion can be diverted to a more physiologic pathway. However, when severe pancreatitis leads to disconnection of the pancreatic duct, it precludes conventional endoscopic treatment via transpapillary stenting of the pancreatic duct. We describe a patient with a chronic, refractory pancreatico-pleural fistula arising from chronic pancreatitis with a disconnected pancreatic duct syndrome, which resolved following endoscopic ultrasound-guided therapy. |
| doi_str_mv | 10.1016/j.rmcr.2013.05.001 |
| format | Article |
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Delayed diagnosis may occur if fluid amylase level is not obtained early in the clinical course. As most cases of pancreatico-pleural effusion are due to chronic pancreatitis, endoscopic therapy may be effective if pancreatic fluid secretion can be diverted to a more physiologic pathway. However, when severe pancreatitis leads to disconnection of the pancreatic duct, it precludes conventional endoscopic treatment via transpapillary stenting of the pancreatic duct. We describe a patient with a chronic, refractory pancreatico-pleural fistula arising from chronic pancreatitis with a disconnected pancreatic duct syndrome, which resolved following endoscopic ultrasound-guided therapy.</description><identifier>ISSN: 2213-0071</identifier><identifier>EISSN: 2213-0071</identifier><identifier>DOI: 10.1016/j.rmcr.2013.05.001</identifier><identifier>PMID: 26029626</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Case Report ; Effusion ; Endoscopic ; Internal Medicine ; Pancreatic ; Pancreatitis ; Pleural fistula ; Pulmonary/Respiratory</subject><ispartof>Respiratory medicine case reports, 2013-01, Vol.9, p.30-33</ispartof><rights>Elsevier Ltd</rights><rights>2013 Elsevier Ltd</rights><rights>2013 Elsevier Ltd. 2013 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-771a31b7c765ef4a36cc0afc2f60308cbf0f9b275892331ab16d356ce3f56ce03</citedby><cites>FETCH-LOGICAL-c510t-771a31b7c765ef4a36cc0afc2f60308cbf0f9b275892331ab16d356ce3f56ce03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949552/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2213007113000191$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,3537,27901,27902,53766,53768,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26029626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Houlihan, M.D</creatorcontrib><creatorcontrib>Bowyer, B.A</creatorcontrib><creatorcontrib>Barclay, R.L</creatorcontrib><title>Resolution of pancreatico-pleural fistula with endoscopic ultrasound-guided therapy</title><title>Respiratory medicine case reports</title><addtitle>Respir Med Case Rep</addtitle><description>Abstract Pancreatico-pleural fistula is an uncommon cause of recurrent pleural effusion. Delayed diagnosis may occur if fluid amylase level is not obtained early in the clinical course. As most cases of pancreatico-pleural effusion are due to chronic pancreatitis, endoscopic therapy may be effective if pancreatic fluid secretion can be diverted to a more physiologic pathway. However, when severe pancreatitis leads to disconnection of the pancreatic duct, it precludes conventional endoscopic treatment via transpapillary stenting of the pancreatic duct. We describe a patient with a chronic, refractory pancreatico-pleural fistula arising from chronic pancreatitis with a disconnected pancreatic duct syndrome, which resolved following endoscopic ultrasound-guided therapy.</description><subject>Case Report</subject><subject>Effusion</subject><subject>Endoscopic</subject><subject>Internal Medicine</subject><subject>Pancreatic</subject><subject>Pancreatitis</subject><subject>Pleural fistula</subject><subject>Pulmonary/Respiratory</subject><issn>2213-0071</issn><issn>2213-0071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9UlFrFDEQXkSxpfYP-CD76Muuk-SSvQUpSNFWKAhWn0NudtLLmUvWZFO5f-8uV0v1wXmYCeT7vhnmm6p6zaBlwNS7XZv2mFoOTLQgWwD2rDrlnIkGoGPPn7xPqvOcdzBHt-5B8pfVCVfAe8XVaXX7lXL0ZXIx1NHWowmYyEwOYzN6Ksn42ro8FW_qX27a1hSGmDGODuvip2RyLGFo7oobaKinLSUzHl5VL6zxmc4f6ln1_dPHb5fXzc2Xq8-XH24alAympuuYEWzTYack2ZURChGMRW4VCFjjxoLtN7yT654LwcyGqUFIhSTskkGcVRdH3bFs9jQghXkgr8fk9iYddDRO__0T3FbfxXst-lUvJZ8F3j4IpPizUJ703mUk702gWLJmai27VSeFmqH8CMUUc05kH9sw0IsheqcXQ_RiiAapZ0Nm0punAz5S_qx_Brw_Amhe072jpDM6CkiDS4STHqL7v_7FP3T0Ljg0_gcdKO9iSWE2QDOduQZ9u5zEchFLBtYz8RvxVrOo</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Houlihan, M.D</creator><creator>Bowyer, B.A</creator><creator>Barclay, R.L</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130101</creationdate><title>Resolution of pancreatico-pleural fistula with endoscopic ultrasound-guided therapy</title><author>Houlihan, M.D ; Bowyer, B.A ; Barclay, R.L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-771a31b7c765ef4a36cc0afc2f60308cbf0f9b275892331ab16d356ce3f56ce03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Case Report</topic><topic>Effusion</topic><topic>Endoscopic</topic><topic>Internal Medicine</topic><topic>Pancreatic</topic><topic>Pancreatitis</topic><topic>Pleural fistula</topic><topic>Pulmonary/Respiratory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Houlihan, M.D</creatorcontrib><creatorcontrib>Bowyer, B.A</creatorcontrib><creatorcontrib>Barclay, R.L</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Respiratory medicine case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Houlihan, M.D</au><au>Bowyer, B.A</au><au>Barclay, R.L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resolution of pancreatico-pleural fistula with endoscopic ultrasound-guided therapy</atitle><jtitle>Respiratory medicine case reports</jtitle><addtitle>Respir Med Case Rep</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>9</volume><spage>30</spage><epage>33</epage><pages>30-33</pages><issn>2213-0071</issn><eissn>2213-0071</eissn><abstract>Abstract Pancreatico-pleural fistula is an uncommon cause of recurrent pleural effusion. Delayed diagnosis may occur if fluid amylase level is not obtained early in the clinical course. As most cases of pancreatico-pleural effusion are due to chronic pancreatitis, endoscopic therapy may be effective if pancreatic fluid secretion can be diverted to a more physiologic pathway. However, when severe pancreatitis leads to disconnection of the pancreatic duct, it precludes conventional endoscopic treatment via transpapillary stenting of the pancreatic duct. We describe a patient with a chronic, refractory pancreatico-pleural fistula arising from chronic pancreatitis with a disconnected pancreatic duct syndrome, which resolved following endoscopic ultrasound-guided therapy.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26029626</pmid><doi>10.1016/j.rmcr.2013.05.001</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | ScienceDirect Journals (5 years ago - present); DOAJ Directory of Open Access Journals; PubMed Central |
| subjects | Case Report Effusion Endoscopic Internal Medicine Pancreatic Pancreatitis Pleural fistula Pulmonary/Respiratory |
| title | Resolution of pancreatico-pleural fistula with endoscopic ultrasound-guided therapy |
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