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권혜미 ( Hyemi Kwon ),이지향 ( Jihyang Lee ),최은지 ( Eunji Choi ),김효정 ( Hyojung Kim ),최준혁 ( Jun Hyuk Choi ),변재호 ( Jae Ho Byun ),김명환 ( Myung Hwan Kim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.4
Pancreatic duct disruption associated with pancreatitis can lead to the development of pseudocysts, pancreatic ascites, and pleural effusion. A 50-year-old male presented with a 1-month history of postprandial epigastric pain. A chest X-ray showed right pleural effusion. Diagnostic thoracentesis revealed an amylase-rich exudate consistent with pancreatic effusion. Magnetic resonance cholangiopancreatography demonstrated a pancreaticopleural fistula tract, and endoscopic retrograde pancreatography confirmed the presence of pancreatic ductal disruption and leakage at the genu portion. The pancreaticopleural fistula was treated by transpapillary pancreatic stenting. Percutaneous drainage of the pleural effusion and octreotide injection were also performed. Follow-up endoscopic retrograde pancreatography at 8 weeks revealed no leakage of contrast media from the main pancreatic duct. Endoscopic pancreatic stenting can be an efficacious nonsurgical treatment of pancreaticopleural fistula following pancreatitis. (Korean J Med 2014;87:455-460)