Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula

Detalhes bibliográficos
Autor(a) principal: Correia,João
Data de Publicação: 2022
Outros Autores: Pinho,Rolando, Francisco,Elsa, Proença,Luísa, Fernandes,Carlos, Oliveira,Manuel
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054
Resumo: Abstract A 61-year-old man was diagnosed with an exudative pleural effusion with raised amylase and bilirubin levels. The patient had no previous history of acute pancreatitis or trauma and no clinical or radiological signs of chronic pancreatitis. On thoracoabdominal computed tomography, a pancreatic pseudocyst with a pancreaticopleural fistula was identified. Endoscopic retrograde cholangiopancreatography identified a ductal disruption site in the body of the pancreas. Pancreatic sphincterotomy and stent placement in the duct of Wirsung, combined with medical management, allowed fistula closure, pseudocyst reabsorption, and no relapse of the pleural effusion. The relevance of this case lies not only in its rarity but also as it highlights the importance of a multidisci-plinary approach in such uncommon conditions. Optimal management of this condition is debatable due to the absence of prospective studies comparing medical, endoscopic, and surgical approaches.
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spelling Endoscopic Treatment of an Idiopathic Pancreaticopleural FistulaPancreasEndoscopic retrograde cholangiopancreatographyPseudocystPleural effusionAbstract A 61-year-old man was diagnosed with an exudative pleural effusion with raised amylase and bilirubin levels. The patient had no previous history of acute pancreatitis or trauma and no clinical or radiological signs of chronic pancreatitis. On thoracoabdominal computed tomography, a pancreatic pseudocyst with a pancreaticopleural fistula was identified. Endoscopic retrograde cholangiopancreatography identified a ductal disruption site in the body of the pancreas. Pancreatic sphincterotomy and stent placement in the duct of Wirsung, combined with medical management, allowed fistula closure, pseudocyst reabsorption, and no relapse of the pleural effusion. The relevance of this case lies not only in its rarity but also as it highlights the importance of a multidisci-plinary approach in such uncommon conditions. Optimal management of this condition is debatable due to the absence of prospective studies comparing medical, endoscopic, and surgical approaches.Sociedade Portuguesa de Gastrenterologia2022-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054GE-Portuguese Journal of Gastroenterology v.29 n.5 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054Correia,JoãoPinho,RolandoFrancisco,ElsaProença,LuísaFernandes,CarlosOliveira,Manuelinfo:eu-repo/semantics/openAccess2024-02-06T17:34:21Zoai:scielo:S2341-45452022000500054Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:19.276287Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
title Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
spellingShingle Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
Correia,João
Pancreas
Endoscopic retrograde cholangiopancreatography
Pseudocyst
Pleural effusion
title_short Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
title_full Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
title_fullStr Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
title_full_unstemmed Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
title_sort Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
author Correia,João
author_facet Correia,João
Pinho,Rolando
Francisco,Elsa
Proença,Luísa
Fernandes,Carlos
Oliveira,Manuel
author_role author
author2 Pinho,Rolando
Francisco,Elsa
Proença,Luísa
Fernandes,Carlos
Oliveira,Manuel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Correia,João
Pinho,Rolando
Francisco,Elsa
Proença,Luísa
Fernandes,Carlos
Oliveira,Manuel
dc.subject.por.fl_str_mv Pancreas
Endoscopic retrograde cholangiopancreatography
Pseudocyst
Pleural effusion
topic Pancreas
Endoscopic retrograde cholangiopancreatography
Pseudocyst
Pleural effusion
description Abstract A 61-year-old man was diagnosed with an exudative pleural effusion with raised amylase and bilirubin levels. The patient had no previous history of acute pancreatitis or trauma and no clinical or radiological signs of chronic pancreatitis. On thoracoabdominal computed tomography, a pancreatic pseudocyst with a pancreaticopleural fistula was identified. Endoscopic retrograde cholangiopancreatography identified a ductal disruption site in the body of the pancreas. Pancreatic sphincterotomy and stent placement in the duct of Wirsung, combined with medical management, allowed fistula closure, pseudocyst reabsorption, and no relapse of the pleural effusion. The relevance of this case lies not only in its rarity but also as it highlights the importance of a multidisci-plinary approach in such uncommon conditions. Optimal management of this condition is debatable due to the absence of prospective studies comparing medical, endoscopic, and surgical approaches.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054
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dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
dc.source.none.fl_str_mv GE-Portuguese Journal of Gastroenterology v.29 n.5 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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