膵気管支瘻により喀血を来した慢性膵炎の1例

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A 71-year-old male with a history of ethanol abuse for 50 years and chronic pancreatitis for 15 years had had hemoptysis for more than one year. Chest radiographs on admission demonstrated infiltration in the left lower lung field with on pleural effusion. Fiberoptic bronchoscopy revealed small hemorrhages from the left B<SUP>10</SUP>.Neither malignant cells nor acid fast bacilli were detected in brushing materials of washing fluid obtained from left B<SUP>10</SUP>. To clarify the cause of hemoptysis, open thoracotomy was performed on July 16, 1992. Pancreatic fistulas were seen penetrating the diaphragm, which were continuous with the pleura at the base of the left lower lobe. The lower lobe was resected, and pathological examination showed that pancreatic fistulas perforated the diaphragm and reached the bronchial tree. The clinicaopathological and radiological findings are described in this rare care of chronic pancreatitis causing hemoptysis.
特定非営利活動法人日本呼吸器外科学会の論文