[Pancreato-pleural fistula in a patient with chronic pancreatitis]

A case with pancreaticopleural fistula formation in a 33-year-old man with alcohol-induced chronic pancreatitis with a pseudocyst in the head of the pancreas is reported. The patient was treated with repeated pleurocentesis, but the fistula first closed and was drained after treatment with the somatostatin-analogue, sandostatin, for 38 days and total parenteral nutrition for 26 days probably because a spontaneous pancreaticogastric fistula had then formed. At the most recent outpatient control re-examination of the pancreas with ultrasound no cyst was shown.