An experience of the treatment of a patient with chronic pancreatitis with pancreatic pleural fistula complicated by lung abscesses
N. Yu. Kokhanenko,
A. A. Kashintsev,
A. A. Bobylkov,
R. G. Avanesyan,
E. V. Shepichev,
A. L. Ivanov,
A. V. Glebova,
O. G. Vavilova,
K. V. Medvedev,
L. A. Solovyova https://doi.org/10.24884/0042-4625-2021-180-3-61-67
Abstract
Pancreatic pleural fistula is one of the rare and difficulty verifying complication of chronic pancreatitis. We present a rare medical case of a patient with chronic pancreatitis complicated by pancreatic pleural fistula with the formation
of multiple lung abscesses. At the same time, the success of the treatment of the patient was due to the staged treatment and the participation of a multidisciplinary team of specialists.
About the Authors
N. Yu. Kokhanenko
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Kokhanenko Nikolay Yu., Dr. of Sci. (Med.), Professor, Head of the Department of Faculty Surgery named after Prof. A. A. Rusanov
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. A. Kashintsev
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Kashintsev Aleksei A., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest
A. A. Bobylkov
Nicolaevsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Bobylkov Andrei A., Head of the 2nd Surgical Department, Chief Surgeon of the Petrodvorets district
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
R. G. Avanesyan
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Avanesyan Ruben G., Dr. of Sci. (Med.), Associate Professor of the Department of General Surgery with a Course of Endoscopy named after Prof. A. A. Rusanov
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
E. V. Shepichev
Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Shepichev Evgeniy V., Cand. of Sci. (Med.), Thoracic Surgeon
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. L. Ivanov
Saint-Petersburg State Pediatric Medical University; Nicolaevsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Ivanov Artem L., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov; Abdominal Surgeon
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. V. Glebova
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Glebova Anna V., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. Rusanova
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
O. G. Vavilova
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Vavilova Olga G., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
K. V. Medvedev
Botkin Clinical Infectious Diseases Hospital
Russian Federation
Competing Interests:
Russian Federation
Medvedev Konstantin V., Cand. of Sci. (Med.), Chief
Surgeon
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
L. A. Solovyova
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Solovyova Lyudmila A., Student
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
References
1. Rockey D. C., Cello J. P. Pancreaticopleural fistula. Report of 7 patients and review of the literature // Medicine (Baltimore) 1990;69(6):332–344.
2. Oh Y. S., Edmundowicz S. A., Jonnalagadda S. S., Azar R. R. Pancreaticopleural fistula: report of two cases and review of the literature. DigDisSci. 2006;51(1):1–6.
3. Cameron J. L., Kieffer R. S., Anderson W. J., Zuidema G. D. Internal pancreatic fistulas: pancreatic ascites and pleural effusions // Ann Surg. 1976;184(5):587–593.
4. Dhebri A. R., Ferran N. Nonsurgical management of pancreaticopleural fistula // JOP. 2005;6(2):152–161.
5. Ali T., Srinivasan N., Le V., Chimpiri A. R., Tierney W. M. Pancreaticopleural fistula //. Pancreas 2009;38(1):E26–E31.
6. Misare B. D., Gagner M., Braasch J. W., Shahian D. M. Pancreaticobronchial fistula causing lung abscess: case report and brief discussion of the literature // Surgery 1991;110(3):549–551.
7. Ito H., Matsubara N., Sakai T., Aso N., Kitami M., Ono S., Ishibashi T. Two cases of thoracopancreatic fistula in alcoholic pancreatitis: clinical and CT findings // Radiat. Med. 2002;20(4):207–211.
8. Kim E., Ahn H. Y., Kim Y. D., I H., Cho J. S. Successful diagnosis and treatment of a pancreaticopleural fistula in a patient presenting with unusual empyema and hemoptysis // Korean J. Thorac. Cardiovasc. Surg. 2019;52(3):174–177.
9. Sul Y. H., Shin H. S., Lee K. H., Chun K. S., Song I. S. Pancreaticopleural fistula with hemothorax. J. Korean. Surg. Soc. 2009;76(3):187–191.
10. Boudaya M. S., Alifano M., Baccari S., Regnard J. Hemothorax as the clinical presentation of a pancreaticopleural fistula: report of a case // Surg. Today. 2007;37(6):518–520.
11. Kilic A., Cook C., Qureshi I., Landreneau R. J., Schuchert M. J. Pancreaticopleural fistula presenting as right-sided hemothorax // Ann. Thorac. Surg. 2009;87(4):1262–1264.
12. Tombroff M., Loicq A., De Koster J. P., Engleholm L., Govaerts J. P. Pleural effusion with pancreaticopleural fistula // Br. Med. J. 1973; 1(5849):330–331.
13. Wronski M., Slodkowski M., Cebulski W., Moronczyk D., Krasnodebski I. W. Optimizing management ofpancreaticopleuralfistulas // World J Gastroenterol. 2011;17(42):4696–4703.
14. Amer K., Mahesh B., Ascione R. Pedicled intercostal muscle flap: a simple technique of closing pancreatico-pleural fistula from a thoracic approach // Eur. J. Cardiothorac. Surg. 2002;22(5):831–832.
15. Kim E., Ahn H. Y., Kim Y. D., I H., Cho J. S. Successful diagnosis and treatment of a pancreaticopleural fistula in a patient presenting with unusual empyema and hemoptysis // Korean J. Thorac. Cardiovasc. Surg. 2019;52(3):174–177.
16. Lee J. S., Kim Y. S., Chang W. C., Lee J. W., Moon J. S., Yum H. K., Choi S. K. Cardiac tamponade complicated by chronic recurrent pancreatitis // Korean J. Med. 2003;65(3):S693–S697.
17. Kokhanenko N. Y., Artemyeva N. N. Chronic pancreatitis and its surgical treatment. LAP LAMBERT Academic Publishing, 2014. (In Russ.).
18. Iacono C., Procacci C., Frigo F., Andreis I. A., Cesaro G., Caia S., Bassi C., Pederzoli P., Serio G., Dagradi A. Thoracic complications of pancreatitis // Pancreas. 1989;4(2):228–236.
19. Boldin B. V., Ponomar S. A., Revyakin V. I. Pancreaticopleural fistula is a possible cause of acute respiratory failure // Khirurgiia. 2018;(5):115–116. (In Russ.).
20. Tajima Y., Tsutsumi R., Kuroki T., Mishima T., Adachi T., Kitasato A., Kanematsu T. Evaluation and management of thoracopancreatic fistula // Surgery. 2006;140(5):773–778.
21. Olakowski M., Mieczkowska-Palacz H., Olakowska E., Lampe P. Surgical management of pancreaticopleural fistulas // Acta Chir. Belg. 2009; 109(6):735–740
22. Uchiyama T., Suzuki T., Adachi A., Hiraki S., Iizuka N. Pancreatic pleural effusion: case report and review of 113 cases in Japan // Am. J. Gastroenterol. 1992;87(3):387–391.
23. Misare B. D., Gagner M., Braasch J. W., Shahian D. M. Pancreaticobronchial fistula causing lung abscess: Case report and brief discussion of the literature // Surgery 1991;110(3):549–551.
Supplementary files
Review
For citations:
Kokhanenko N.Yu., Kashintsev A.A., Bobylkov A.A., Avanesyan R.G., Shepichev E.V., Ivanov A.L., Glebova A.V., Vavilova O.G., Medvedev K.V., Solovyova L.A. An experience of the treatment of a patient with chronic pancreatitis with pancreatic pleural fistula complicated by lung abscesses. Grekov's Bulletin of Surgery. 2021;180(3):61-67. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-3-61-67
Views:
483
Email this article 