Sonographic demonstration of a pancreatopleural fistula

Pancreatopleural fistula is an uncommon complication of pancreatitis. The presence of a fistulous tract, although not mandatory for diagnosis of pancreatopleural fistula, has been documented previously with contrast‐enhanced radiography and endoscopic retrograde cholangiopancreatography. We report t...

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Bibliographic Details
Published in:Journal of clinical ultrasound 2002-10, Vol.30 (8), p.503-505
Main Authors: Kumar, Atin, Upreti, Lalendra, Bhargava, Satish K., Gupta, Shefali
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Diagnosis, Differential
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Other diseases. Semiology
Pancreatic Fistula - diagnostic imaging
pancreatic pseudocyst
pancreatitis
pancreatopleural fistula
Pleural Diseases - diagnostic imaging
Pleural Effusion - diagnostic imaging
Pneumology
Respiratory system : syndromes and miscellaneous diseases
Respiratory Tract Fistula - diagnostic imaging
Ultrasonography
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Summary:Pancreatopleural fistula is an uncommon complication of pancreatitis. The presence of a fistulous tract, although not mandatory for diagnosis of pancreatopleural fistula, has been documented previously with contrast‐enhanced radiography and endoscopic retrograde cholangiopancreatography. We report the case of a pancreatopleural fistula with right pleural effusion demonstrated sonographically in a 13‐year‐old girl with a history of chronic pancreatitis and upper abdominal pain. Sonography also showed a pseudocyst of the pancreas with pleural effusion. The patient was treated conservatively with nutritional support and intercostal drainage of the pleural fluid. Her symptoms resolved and the pleural effusion gradually disappeared. Sonography is useful in confirming the presence of a suggested pancreatopleural fistula and can avoid the need for other, more technically challenging imaging modalities. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:503–505, 2002; Published online in Wiley InterScience (www. interscience.wiley.com). DOI: 10.1002/jcu.10103
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.10103