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Pancreatico-Pleural Fistula - from Diagnosis to Management. A Case Report
Catalina Mihai1, Mariana Floria2, Radu Vulpoi1
1Grigore T. Popa University of Medicine and Pharmacy Iași; Gastroenterology and Hepatology Institute, Sf. Spiridon Emergency Hospital Iași, Romania.
Abstract:
Pancreatic pseudocysts are frequent complications of both acute and chronic pancreatitis. By contrast, pancreatico-pleural fistula is rare. Here we report a case of massive pleural effusion secondary to a fistula in the left hemi-diaphragm, between a pancreatic pseudocyst and the left pleura, in a patient with a right kidney tumor and bilateral massive pulmonary thromboembolism. This fistula developed after several episodes of un-investigated acute pancreatitis. The pleural effusion was treated by three thoracocenteses, without recurrence.
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