Pancreaticothoracic Fistula Presenting with Hemoptysis and Pneumothorax in a Chronic Alcoholic Patient

Tuberculosis and Respiratory Diseases

article

Si Nae Lee¹  Kyung Hee Lee²  Seok Chung¹  Hae Sung Nam¹  Jae Hwa Cho¹  Jeong Seon Ryu¹  Seung Min Kwak¹ 

[1] Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Inha University College of Medicine, Incheon;Department of Radiology, Inha University College of Medicine, Incheon

关键词: Pancreatic Fistula;    Hemoptysis;    Pneumothorax;    Cholangiopancreatography;    Endoscopic Retrograde;    Cholangiopancreatography;    Magnetic Resonance;   

DOI  :  10.4046/trd.2014.76.5.240

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Pancreaticothoracic fistula is a rare complication of acute or chronic alcoholic pancreatitis. It may present with various symptoms, like dyspnea, abdominal pain, cough, chest pain, fever, back pain, hemoptysis, fatigue, or orthopnea. Pancreaticothoracic fistula can be detected by magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), or computed tomography. MRCP has high sensitivity and fewer side effects, and thus it has recently been recommended as the first choice for the detection of pancreaticothoracic fistula. On the other hand, ERCP enables the detection and treatment of pancreaticothoracic fistula and allows for stent insertion; for this reason it is a commonly used modality in pancreaticothoracic fistula cases. Herein, the authors describe a case of pancreaticothoracic fistula detected by ERCP and MRCP that manifested only respiratory symptoms, namely hemoptysis and pneumothorax without abdominal pain, which commonly accompanies pancreatitis.

【 授权许可】

CC BY-NC