Qi Shen* and Hua Qin
Department of Gastroenterology, Tongji Hospital, Huazhong University of Science and Technology, ChinaFulltext PDF
A 43-year-old man presented to a hospital with left chest tightness for 5 months. Chest CT showed left pleural effusion. Thoracentesis showed pleural effusion with a high-level of amylase. Abdominal Enhanced CT and MRCP show a posterior peritoneal sac-like low-density foci on the left side, protruding to the left thoracic cavity, communicating with the pancreatic canal in the tail of the pancreas. Based on the patient's previous history of pancreatitis, we suspected that pleural fluid was caused by pancreatic tube thoracic fistular. We performed an ERCP and identified the fistula at the tail of the pancreas and drained by ENPD, after 2 months of indwelling, the sinus tract closed and the pleural effusion disappeared.
Shen Q, Qin H. Pancreatic-Pleural Fistula Treated by Endoscopy: Report of a Case. Ann Clin Case Rep. 2022; 7: 2316..