Home > Journals > Chirurgia > Past Issues > Chirurgia 2019 February;32(1) > Chirurgia 2019 February;32(1):45-7

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

CASE REPORT   

Chirurgia 2019 February;32(1):45-7

DOI: 10.23736/S0394-9508.18.04854-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

A management dilemma of pancreaticopleural fistula in the era of bariatric surgery

Yasser ALJEHANI 1 , Abdullah ALQATTAN 2, Mohammed ALISMAIL 1

1 Division of Thoracic Surgery, Department of Surgery, King Fahad University Hospital, Imam Abdurrahman Bin Faisal University, Dammam, Saudi Arabia; 2 King Fahad University Hospital, Imam Abdurrahman Bin Faisal University, Dammam, Saudi Arabia



Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis. PPF is treated by pancreatic stenting, but in cases of altered gastrointestinal anatomy endoscopic retrograde cholangiopancreatography is inapplicable. Moreover, the open route is difficult in mesh repair of abdominal wall hernia. We report a case of 35-year-old female who underwent biliopancreatic diversion, which was complicated later on by attacks of pancreatitis and pancreatic pseudocyst which was complicated by formation of PPF. Successful conservative management was achieved although prolonged due to the inability of pancreatic stenting. This case demonstrates the rarity of such condition and the challenges faced due to altered gastrointestinal tract anatomy.


KEY WORDS: Bariatric surgery - Biliopancreatic diversion - Pancreatic fistula - Pleural effusion

top of page