Pulmonary-pleural complications of pancreatitis
https://doi.org/10.24884/0042-4625-2017-176-3-28-31
Abstract
OBJECTIVE. The authors investigated pulmonary-pleural complications of pancreatitis and evaluated results of CT examination in diagnostics and possibility of low invasive surgery in treatment of pancreaticogenic pleurisy. MATERIAL AND METHODS. A retrospective analysis was made of 156 medical histories of patients with acute pancreatitis and their results. An ultrasound examinations of the chest and CT scan were applied in order to determine lung tissue condition and presence of fluid in pleural cavities. RESULTS. The application of CT in diagnostics of pulmonary-pleural complications allowed doctors to identify an effusion in pleural cavities in 3,5-50 % patients with acute pancreatitis. The number and localization of effusions were defined more precisely. CONCLUSIONS. Mini-invasive procedures (puncture, videothoracoscopy) with examination of exudate on amylase activity and biopsy of pleura determined the causes of pleuritis. This was effective in pleritis elimination against a background of different methods of treatment of pancreatitis.
About the Authors
L. P. Kotel’Nikova
E.A. Vagner Perm State Medical University
Russian Federation
Russian Federation
S. A. Plaksin
E.A. Vagner Perm State Medical University
Russian Federation
Russian Federation
P. L. Kudryavtsev
E.A. Vagner Perm State Medical University
Russian Federation
Russian Federation
L. I. Farshatova
E.A. Vagner Perm State Medical University
Russian Federation
Russian Federation
References
1. Гладинец М. М., Кажыкенов К. Т., Шавенкова М. В. и др. Поражение органов грудной полости при остром панкреатите // Наука и здравоохранение. 2013. № 2. С. 37-39.
2. Маев И. В., Дичева Д. Т., Жиляев Е. Н., Бурагина Т. А. Панкреатогенное поражение плевры и лёгкого // Consilium Medicum 2009. Т. 11, № 8. С. 2.
3. Arguder E., Karnak D., Kayacan O. A. Surprising diagnosis of pan creatitis with pseudocyst associated with sudden massive effusion // Exp. Ther. Med. 2011. Vol. 2, № 4. P. 701-703.
4. Dabrowski K., Bialek A., Kukla M. et al. Mediastinal pancreatic pseudocysts // Clin. Endosc. 2017. Vol. 50, № 1. P. 76-80. doi: 10.5946/ce. 2016. 089.
5. Reechaipichitkul W., Bowornkitiwong T., Utchariyaprasit E. Chronic pancreatitis presenting with right pleural effusion: a case report // J. Med. Assoc. Thai. 2010. Vol. 93, № 3. P. 378-382.
6. Sachdeva R., Sachdeva S. Hemorrhagic pleural effusion due to pseudo-pancreatic cyst // Adv. Biomed. Res. 2016. Vol. 16, № 5. P. 42.
7. Wypych K., Serafin Z., Galazka P., Strzesniewski P. et al. Pancreaticopleural fistulas of different origin: report of two cases and review of literature // Pol. J. Radiol. 2011. Vol. 76, № 2. P. 56-60.
Review
For citations:
Kotel’Nikova L.P., Plaksin S.A., Kudryavtsev P.L., Farshatova L.I. Pulmonary-pleural complications of pancreatitis. Grekov's Bulletin of Surgery. 2017;176(3):28-31. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-3-28-31
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