A Pancreaticobronchial Fistula Associated With Previous Trauma and Pancreas Pseudocysts: A Case Report

We describe a rare case of a pancreaticobronchial fistula caused by pancreatic pseudocysts due to previous trauma. A 54-year-old man with a history of traumatic hemothorax was referred to central hospital for investigations due to cough, dyspnea, vertigo and fever. An ultrasound scan and abdominal computed tomography scan showed huge pancreatic pseudocysts around the pancreas extending to the right side of the mediastinum with gas. The etiology for the pseudocysts was unconfirmed. First, the patient recovered with antibiotics and external pseudocyst drainage. After five months the patient started to suffer from respiratory symptoms again, such as coughing with sputum, dyspnea and mild fever. The computer tomography scan confirmed the pancreaticobronchial fistula as a diagnosis and the patient was referred to the university hospital for further treatment.