Endoscopic Management of Pancreaticopleural Fistula in a Child with Hereditary Pancreatitis / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 601-607, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-760879
ABSTRACT
Pancreaticopleural fistula (PPF) a fistulous connection between the pancreas and pleural space due to prolonged chronic pancreatitis (CP). PPF is a very rare complication which presents in 0.4% of chronic pancreatitis cases, especially among children. We report a case involving a 3-year-old boy who presented with pleural effusion caused by a PPF, a complication of hereditary pancreatitis, which was, for the first time in Korea, successfully managed with endoscopic treatment. Chest radiography and computed tomography showed massive pleural effusion. Percutaneous catheter drainage was performed. High amylase levels were observed in the pleural fluid and serum, suggesting PPF. The patient was managed with bowel rest and octreotide infusion. Endoscopic retrograde cholangiopancreatography revealed CP, and pleural effusion was successfully managed with stent placement. PRSS1 genetic screening revealed R122H mutation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Páncreas
/
Pancreatitis
/
Derrame Pleural
/
Tórax
/
Radiografía
/
Octreótido
/
Stents
/
Drenaje
/
Pruebas Genéticas
/
Colangiopancreatografia Retrógrada Endoscópica
Tipo de estudio:
Estudio diagnóstico
Límite:
Niño
/
Child, preschool
/
Humanos
/
Masculino
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Año:
2019
Tipo del documento:
Artículo
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