Document Detail

Thoracic manifestations of internal pancreatic fistulas: report of five cases.
MedLine Citation:
PMID:  2645766     Owner:  NLM     Status:  MEDLINE    
Thoracic manifestations of internal pancreatic fistulas are rare. During the last 8 yr, we have treated one patient with a mediastinal pseudocyst, three patients with pancreaticopleural fistulas, and one patient with a pancreaticobronchial fistula. Recurrent pleural effusions represent one of the main clinical features in this entity, and can often lead to false diagnoses. Determination of pancreatic enzyme activity, as well as the combination of ultrasonography, computerized tomography, and endoscopic retrograde cholangiopancreatography (ERCP), enable the establishment of the diagnosis. A complete pancreatic evaluation is the rationale for an adequate and efficient therapy which should always aim at a focal assentation.
J R Izbicki; D K Wilker; H Waldner; F L Rueff; L Schweiberer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  84     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-03     Completed Date:  1989-04-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  265-71     Citation Subset:  IM    
Department of Surgery, University of Munich, FRG.
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MeSH Terms
Bronchial Diseases / diagnosis*
Cholangiopancreatography, Endoscopic Retrograde
Chronic Disease
Fistula / diagnosis*
Mediastinal Diseases / diagnosis
Middle Aged
Pancreatic Cyst / diagnosis*
Pancreatic Fistula / diagnosis*
Pancreatic Pseudocyst / diagnosis*
Pleural Diseases / diagnosis*
Pleural Effusion / diagnosis
Tomography, X-Ray Computed

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