Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery

被引：1

作者：

Yoneda, Taro ^{[1
]}

Koba, Hayato ^{[1
]}

Ueda, Tsukasa ^{[1
]}

Oumura, Hitoshi ^{[1
]}

Katayama, Nobuyuki ^{[2
]}

Kasahara, Kazuo ^{[3
]}

机构：

[1] Komatsu Municipal Hosp, Dept Internal Med, Komatsu, Japan

[2] Yawata Med Ctr, Dept Resp Med, Komatsu, Japan

[3] Kanazawa Univ Hosp, Dept Resp Med, Kanazawa, Ishikawa, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 11期

关键词：

internal pancreatic fistula; pleural effusion; pancreatitis; amylase; iliopsoas muscle;

D O I：

10.2169/internalmedicine.4258-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 65-year-old woman presented to a hospital with complaints of dyspnea and lumbar pain. Chest computed tomography (CT) showed left pleural effusion. Thoracentesis showed pleural effusion with elevated levels of amylase. Enhanced CT showed fluid accumulation from the thoracic crus of the diaphragm to the left iliopsoas muscle. Based on the postoperative notes following left nephrectomy performed 29 years ago, we suspected that the internal pancreatic fistula had resulted from the postoperative scar. Conservative management was performed. However, occlusion of the pancreatic fistula failed. Subsequently, she underwent pancreatic body tail spleen merger resection, and the pleural effusion disappeared.

引用

页码：1427 / 1431

页数：5