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Fístula Pleural Pancreática Bilateral: Un Informe de Caso Raro
Sanjay Gabhale1, Parna Chakraborty2, Brahmansh Singh2
1Department of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Maharashtra, India.
Annals of African medicine
|January 22, 2026
Resumen
Este informe de caso detalla el manejo exitoso de una rara fístula pancreático-pleural (FPP) bilateral causada por pancreatitis inducida por alcohol. Un enfoque multimodal que involucra drenaje y stent endoscópico condujo a una mejora significativa del paciente.
Área de la Ciencia:
- Gastroenterología; Neumología; Endoscopia Intervencionista
Sus antecedentes:
- La fístula pancreático-pleural (FPP) es una complicación rara de la pancreatitis.; La presentación de FPP bilateral es excepcionalmente infrecuente.; Este informe se centra en un caso de pancreatitis inducida por alcohol complicada por FPP bilateral.
Objetivo del estudio:
- Describir el manejo exitoso de una rara fístula pancreático-pleural bilateral.; Destacar la efectividad de un enfoque de tratamiento multimodal.
Principales métodos:
- Un hombre de 40 años con pancreatitis inducida por alcohol se presentó con dolor epigástrico y disnea.; Las imágenes confirmaron derrames pleurales bilaterales y comunicación del conducto pancreático.; El manejo incluyó drenaje bilateral con tubo torácico y colocación de stent endoscópico del conducto pancreático.
Principales resultados:
- El paciente mostró una mejora clínica significativa después de la terapia combinada.; Los niveles elevados de amilasa y lipasa en el líquido pleural indicaron origen pancreático.; El alta se produjo después de 32 días con un stent del conducto pancreático colocado.
Conclusiones:
- Las fístulas pancreático-pleurales bilaterales requieren consideración en pacientes con derrames pleurales inexplicables.; Una estrategia multimodal que combina intervenciones conservadoras y endoscópicas es efectiva para el manejo de la FPP bilateral.
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