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両側胸膜膵管瘻:稀な症例報告
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
まとめ
この症例報告は、アルコール誘発性膵炎による稀な両側膵臓胸膜瘻(PPF)の管理の成功について詳述しています。ドレナージと内視鏡的ステント留置を伴う多角的アプローチにより、患者の著しい改善が見られました。
科学分野:
- 消化器病学
- 呼吸器病学
- インターベンショナル内視鏡
背景:
- 膵臓胸膜瘻(PPF)は膵炎の稀な合併症である。
- 両側PPFの提示は例外的に稀である。
- 本報告は、両側PPFを合併したアルコール誘発性膵炎の症例に焦点を当てる。
研究 の 目的:
- 稀な両側膵臓胸膜瘻の管理の成功を記述すること。
- 多角的治療アプローチの有効性を強調すること。
主な方法:
- 上腹部痛と呼吸困難を呈したアルコール誘発性膵炎の40歳男性。
- 画像検査により、両側胸水および膵管との交通が確認された。
- 管理には、両側胸腔ドレナージおよび内視鏡的膵管ステント留置が含まれた。
主要な成果:
- 結合療法後、患者は著しい臨床的改善を示した。
- 胸水中のアミラーゼおよびリパーゼレベルの上昇は、膵臓由来であることを示した。
- 膵管ステント留置後32日で退院した。
結論:
- 原因不明の胸水を呈する患者では、両側膵臓胸膜瘻を考慮する必要がある。
- 保存的および内視鏡的介入を組み合わせた多角的戦略は、両側PPFの管理に有効である。
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