Abstract

HERNANDEZ-PADILLA, Sergio Luis; INOCENCIO-OCAMPO, Aleksander Eduardo  and  VAZQUEZ-MINERO, Juan Carlos. Pancreaticopleural fistula, a rare complication of pancreatic pseudocyst. Presentation of two cases. Neumol. cir. torax [online]. 2023, vol.82, n.1, pp.42-45.  Epub Oct 28, 2024. ISSN 0028-3746.  https://doi.org/10.35366/114229.

The presence of pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis, and it can also occur in cases of pancreatic trauma. We report two cases of pancreatic pseudocyst that communicates towards the left hemithorax, both males aged 39 and 27 who, as a history, refer to intense chronic alcoholism. They present with long-term chest pain and dyspnea; pleural effusion is documented in imaging studies. When the endopleural tube is placed, the effusion appears dark and persists with a high output; when carrying out a study of the pleural fluid chemistry, a considerable elevation of pancreatic enzymes is identified, for which reason they are operated on by left posterolateral thoracotomy. A transdiaphragmatic fistula was identified in the first case and a transhiatal fistula in the second. In both cases, drainage plus lavage and decortication with closure of fistulas and placement of pleural drainage were performed. Both patients presented favorable evolution without requiring another procedure.

Keywords : pancreatic pseudocyst; pancreatic pleural fistula; pancreatitis; pleural effusion.

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