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[Pancreatico-bronchial fistula with communication to a pseudoaneurysm of the arteria lienalis as a rare complication in chronic pancreatitis].
- Source :
-
Zeitschrift fur Gastroenterologie [Z Gastroenterol] 1998 Dec; Vol. 36 (12), pp. 1047-51. - Publication Year :
- 1998
-
Abstract
- Thoracic manifestations of internal pancreatic fistulas caused by chronic pancreatitis are rare conditions. The three main types of these manifestations are mediastinal pseudocysts, pancreatico pleural fistulas and pancreaticobronchial fistulas. We report on one patient with the clinical presentation of all three thoracic internal pancreatic fistulas with a communication to a pseudoaneurysm of the splenic artery caused by chronic alcohol-related pancreatitis. Conservative therapy over four weeks was not successful. Resection of the pseudoaneurysm, debridement of the mediastinal pseudocyst and duodenum preserving resection of the pancreas treated all complications and prevents recurrence in this patient with chronic pancreatitis.
- Subjects :
- Adult
Aneurysm, False surgery
Bronchial Fistula surgery
Cholangiopancreatography, Endoscopic Retrograde
Humans
Male
Pancreatectomy
Pancreatic Fistula surgery
Pancreatic Pseudocyst diagnostic imaging
Pancreatic Pseudocyst surgery
Pancreatitis, Alcoholic diagnostic imaging
Pancreatitis, Alcoholic surgery
Splenic Artery surgery
Tomography, X-Ray Computed
Aneurysm, False diagnostic imaging
Bronchial Fistula diagnostic imaging
Pancreatic Fistula diagnostic imaging
Pancreatitis, Alcoholic complications
Splenic Artery diagnostic imaging
Subjects
Details
- Language :
- German
- ISSN :
- 0044-2771
- Volume :
- 36
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Zeitschrift fur Gastroenterologie
- Publication Type :
- Academic Journal
- Accession number :
- 10025056