Pancreaticopericardial Fistula Treated Successfully With Pericardial and Pancreatic Drains

Peralta, Gloria; Gerstein, Wendy H.; Roldan, Carlos A.; Fleming, Holly

doi:10.1016/j.cjca.2015.09.005

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Cited by 4 publications

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“…In the mediastinum, it may present either as a pseudocyst or pancreaticopleural fistula, or PPF. For the management of PPF, pericardial drainage has been tried previously with the need for pericardial and pancreatic drains 5. Surgical management for those not benefiting after 2–4 weeks of conservative and endoscopic therapy is also described.…”

Section: Discussionmentioning

confidence: 99%

Pancreaticopericardial fistula: a rare complication of chronic pancreatitis

et al. 2016

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Pancreaticopericardial fistula (PPF) is an extremely rare clinical problem encountered in patients with chronic pancreatitis. The diagnosis should be suspected if a patient presents with pericardial effusion on a background of chronic pancreatitis. Significantly raised amylase in the pericardial fluid offers an important clue for the diagnosis. CT is the initial imaging modality to look for pancreatic and pericardial changes. The therapeutic options include medical, endoscopic or surgical interventions. Medical and endoscopic therapies are the preferred modes of treatment while surgery is reserved for those who fail these measures.

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Section: Discussionmentioning

confidence: 99%