Pancreatic pleural effusion with a pancreaticopleural fistula diagnosed by magnetic resonance cholangiopancreatography and cured by somatostatin analogue treatment

T Akahane; S Kuriyama; M Matsumoto; E Kikuchi; M Kikukawa; H Yoshiji; K Masui; H Fukui

doi:10.1007/s00261-001-0144-2

Pancreatic pleural effusion with a pancreaticopleural fistula diagnosed by magnetic resonance cholangiopancreatography and cured by somatostatin analogue treatment

Abdom Imaging. 2003 Jan-Feb;28(1):92-5. doi: 10.1007/s00261-001-0144-2.

Authors

T Akahane¹, S Kuriyama, M Matsumoto, E Kikuchi, M Kikukawa, H Yoshiji, K Masui, H Fukui

Affiliation

¹ Third Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.

PMID: 12483394
DOI: 10.1007/s00261-001-0144-2

Abstract

A 69-year-old man with chronic alcoholic pancreatitis developed a left-sided massive pleural effusion. Magnetic resonance cholangiopancreatography clearly demonstrated the pancreatic cyst and the fistula connecting the cyst with the left pleural cavity, resulting in the diagnosis of pancreatic pleural effusion with a pancreaticopleural fistula. Conservative somatostatin analogue treatment completely eradicated the pancreatic pleural effusion and closed the pancreaticopleural fistula.

Publication types

Case Reports

MeSH terms

Aged
Biliary Tract / pathology
Chronic Disease
Humans
Magnetic Resonance Imaging*
Male
Octreotide / therapeutic use
Pancreas / pathology
Pancreatic Fistula / complications
Pancreatic Fistula / diagnosis*
Pancreatic Fistula / therapy
Pancreatitis, Alcoholic / complications*
Parenteral Nutrition, Total
Pleural Diseases / complications
Pleural Effusion / diagnosis*
Pleural Effusion / etiology
Pleural Effusion / therapy
Respiratory Tract Fistula / complications
Respiratory Tract Fistula / diagnosis*
Respiratory Tract Fistula / therapy

Substances

Octreotide