Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500054 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
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 |
institution |
RCAAP |
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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1799137414859456512 |