Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery

A 65-year-old woman presented to a hospital with complaints of dyspnea and lumbar pain. Chest computed tomography (CT) showed left pleural effusion. Thoracentesis showed pleural effusion with elevated levels of amylase. Enhanced CT showed fluid accumulation from the thoracic crus of the diaphragm to...

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Autores principales: Yoneda, Taro, Koba, Hayato, Ueda, Tsukasa, Oumura, Hitoshi, Katayama, Nobuyuki, Kasahara, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332625/
https://www.ncbi.nlm.nih.gov/pubmed/32475908
http://dx.doi.org/10.2169/internalmedicine.4258-19
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author Yoneda, Taro
Koba, Hayato
Ueda, Tsukasa
Oumura, Hitoshi
Katayama, Nobuyuki
Kasahara, Kazuo
author_facet Yoneda, Taro
Koba, Hayato
Ueda, Tsukasa
Oumura, Hitoshi
Katayama, Nobuyuki
Kasahara, Kazuo
author_sort Yoneda, Taro
collection PubMed
description A 65-year-old woman presented to a hospital with complaints of dyspnea and lumbar pain. Chest computed tomography (CT) showed left pleural effusion. Thoracentesis showed pleural effusion with elevated levels of amylase. Enhanced CT showed fluid accumulation from the thoracic crus of the diaphragm to the left iliopsoas muscle. Based on the postoperative notes following left nephrectomy performed 29 years ago, we suspected that the internal pancreatic fistula had resulted from the postoperative scar. Conservative management was performed. However, occlusion of the pancreatic fistula failed. Subsequently, she underwent pancreatic body tail spleen merger resection, and the pleural effusion disappeared.
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spelling pubmed-73326252020-08-03 Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery Yoneda, Taro Koba, Hayato Ueda, Tsukasa Oumura, Hitoshi Katayama, Nobuyuki Kasahara, Kazuo Intern Med Case Report A 65-year-old woman presented to a hospital with complaints of dyspnea and lumbar pain. Chest computed tomography (CT) showed left pleural effusion. Thoracentesis showed pleural effusion with elevated levels of amylase. Enhanced CT showed fluid accumulation from the thoracic crus of the diaphragm to the left iliopsoas muscle. Based on the postoperative notes following left nephrectomy performed 29 years ago, we suspected that the internal pancreatic fistula had resulted from the postoperative scar. Conservative management was performed. However, occlusion of the pancreatic fistula failed. Subsequently, she underwent pancreatic body tail spleen merger resection, and the pleural effusion disappeared. The Japanese Society of Internal Medicine 2020-06-01 2020-06-01 /pmc/articles/PMC7332625/ /pubmed/32475908 http://dx.doi.org/10.2169/internalmedicine.4258-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoneda, Taro
Koba, Hayato
Ueda, Tsukasa
Oumura, Hitoshi
Katayama, Nobuyuki
Kasahara, Kazuo
Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title_full Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title_fullStr Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title_full_unstemmed Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title_short Internal Pancreatic Fistula with Pleural Effusion Showing Elevated Levels of Amylase That Emerged 29 Years after Abdominal Surgery
title_sort internal pancreatic fistula with pleural effusion showing elevated levels of amylase that emerged 29 years after abdominal surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332625/
https://www.ncbi.nlm.nih.gov/pubmed/32475908
http://dx.doi.org/10.2169/internalmedicine.4258-19
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