Delayed internal pancreatic fistula with pancreatic pleural effusion postsplenectomy

作     者：Shu-Guang Jin Zhe-Yu Chen Lu-Nan Yan Yong Zeng 

作者机构：Departmentof Hepato-Bilio-Pancreatic SurgeryWest China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2010年第16卷第35期

页      面：4494-4496页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Pancreatic fistula Pleural effusion Splenectomy Subphrenic effusion Postoperative complications 

摘      要：The occurrence of pancreatic pleural effusion,secondary to an internal pancreatic fistula,is a rare clinical syndrome and diagnosis is often *** key to the diagnosis is a dramatically elevated pleural fluid *** pancreatic pleural effusion is also called a pancreatic pleural *** is characterized by profuse pleural fluid and has a tendency to *** we report a case of delayed internal pancreatic fistula with pancreatic pleural effusion emerging after *** the treatment of this case,we conclude that the symptoms and signs of a subphrenic effusion are often obscure;abdominal computed tomography may be required to look for occult,intra-abdominal infection;and active conservative treatment should be carried out in the early period of this complication to reduce the need for endoscopy or surgery.