Bilateral Pleural Fluid Caused by a Pancreaticopleural Fistula Requiring Surgical Treatment
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概要
- 論文の詳細を見る
A 53-year-old man developed bilateral pleural effusion with respiratory failure. The amylase level in the pleural effusion was elevated. He had neither abdominal symptoms nor abdominal physical findings. Abdominal computed tomography (CT) also showed no abnormalities. Magnetic resonance cholangiopancreatography (MRCP) was non-diagnostic, but endoscopic retrograde cholangiopancreatography (ERCP) and subsequent CT showed a fistula connecting the pancreatic duct with the right pleural cavity. The pleural effusion was refractory to drug therapy, leading to the need for surgical intervention. The pathological findings revealed chronic pancreatitis without pseudocysts. The elevated pancreatic amylase in the pleural effusion offered an important clue to the correct diagnosis.
著者
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Sato Tomohide
Internal Medicine, Nakano General Hospital
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Yamasaki Motohisa
Internal Medicine, Nakano General Hospital
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Mae Sunao
Internal Medicine, Nakano General Hospital
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Inase Naohiko
Department Of Integrated Pulmonology Tokyo Medical And Dental University
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Sumi Yuki
Department Of Integrated Pulmonology Tokyo Medical And Dental University
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Irie Tetsuya
Internal Medicine Nihon University Nerima-hikarigaoka Hospital
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Sonoda Shiro
Internal Medicine, Nakano General Hospital, Japan
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Taniguchi Miki
Internal Medicine, Nakano General Hospital, Japan
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Enjoji Megumu
Surgery, Nakano General Hospital, Japan
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Ina Hiroyasu
Radiology, Nakano General Hospital, Japan
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Kobayashi Takayoshi
Internal Medicine, Nakano General Hospital, Japan
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Mae Sunao
Internal Medicine, Nakano General Hospital, Japan
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Sato Tomohide
Internal Medicine, Nakano General Hospital, Japan
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Sumi Yuki
Department of Integrated Pulmonology, Tokyo Medical and Dental University, Japan
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