• 作者：Marcos Kutz Leoz ; ^{mkutzleo@alumni.unav.es} ; Rebeca Irisarri Garde ; Juan José ; Vila Costas ; Ana Martí ; nez Echeverrí ; a ; Inmaculada Elizalde Apestegui ; Marta Basterra Ederra ; Marta Gó ; mez Alonso ; José ; Manuel Zozaya Urmeneta
• 关键词：Fí ; stula pancreaticopleural ; Pancreatitis ; Derrame pleural ; Colangiopancreatografí ; a retró ; grada endoscó ; pica ; Ecoendoscopia ; Somatostatina
• 刊名：Gastroenterolog¨ªa y Hepatolog¨ªa
• 出版年：2012
• 出版时间：February, 2012
• 年：2012
• 卷：35
• 期：2
• 页码：70-73
• 全文大小：570 K

Pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis, requiring medical (somatostatin), endoscopic or surgical treatment, with medical treatment being the first option. We describe the case of a 64-year-old man who showed complete disruption of Wirsung's duct that was diagnosed through ultrasound endoscopy and was complicated by the development of a subphrenic collection, diaphragm perforation and subsequent empyema. Medical therapy was attempted without success, and anatomical restoration of the duct was achieved after endoscopic treatment. The patient also required surgery to evacuate the pleural collection.