Delayed internal pancreatic fistula with pancreatic pleural effusion postsplenectomy

作者：Jin Shu Guang; Chen Zhe Yu^*; Yan Lu Nan; Zeng Yong

来源：World Journal of Gastroenterology, 2010, 16(35): 4494-4496.

DOI：10.3748/wjg.v16.i35.4494

• Pancreatic fistula
• Pleural effusion
• Splenectomy
• Subphrenic effusion
• Postoperative complications

The occurrence of pancreatic pleural effusion, secondary to an internal pancreatic fistula, is a rare clinical syndrome and diagnosis is often missed The key to the diagnosis is a dramatically elevated pleural fluid amylase This pancreatic pleural effusion is also called a pancreatic pleural fistula It is characterized by profuse pleural fluid and has a tendency to recur Here we report a case of delayed internal pancreatic fistula with pancreatic pleural effusion emerging after splenectomy From the treatment of this case, we conclude that the symptoms and signs of a subphrenic effusion are often obscure, abdominal computed tomography may be required to look for occult, intra-a

• 出版日期2010-9-21
• 单位四川大学