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Pancreaticopleural fistula visualized by computed tomography scan combined with pancreatography
Takashi Fujiwara1, Terumi Kamisawa, Junko Fujiwara
1Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Context:
We report a case of a pancreaticopleural fistula which was clearly demonstrated by computed tomography (CT) scan following pancreatography and which was successfully treated with endoscopic nasopancreatic drainage combined with octreotide.
Case Report:
A 52-year-old male was admitted to our hospital for additionally evaluation of bilateral pleural effusion. The pleural fluid amylase level was markedly elevated. Endoscopic retrograde pancreatography showed a cyst in the body of the pancreas and extravasation of contrast medium extending cranially from the cyst. The disease was treated successfully with endoscopic nasopancreatic drainage combined with the administration of octreotide. A pancreaticopleural fistulous route was clearly demonstrated by CT scan following pancreatography through the nasopancreatic drainage tube.
Conclusions:
A CT scan following pancreatography was useful in demonstrating a pancreaticopleural fistulous route.
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