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Surgical management of pancreaticopleural fistula with video-assisted retroperitoneal pancreatic debridement : a case report

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dc.contributor.authorDaza Fernández, María Laura
dc.contributor.authorCuevas Lopez, Liliana
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidadesspa
dc.date.accessioned2021-05-31T12:51:35Z
dc.date.available2021-05-31T12:51:35Z
dc.date.created2019-10-29
dc.description.abstractenglishIntroduction: Pancreaticopleural fistula is a rare complication of both acute and chronic pancreatitis. Here, we present a case of a pancreaticopleural fistula treated with Video-Assisted Retroperitoneal Debridement (VARD). Case presentation: A 52-year-old male with a history of severe acute biliary pancreatitis presented with cough, chest pain and fever. Physical exam showed absent respiratory sounds in the right base. Chest tomography revealed a right pleural collection. The patient underwent a right thoracotomy which confirmed a pancreaticopleural fistula, and then an ERCP was performed for conservative management and the patient was discharged. The patient was re-admitted on the 27th postoperative day where we confirmed a superinfected pancreatic necrosis and persistence of the fistula; the patient underwent a VARD for the treatment of both conditions. The patient was discharged after completing 5 weeks of antibiotic management. Discussion: The management of a pancreaticopleural fistula is based on medical and endoscopic treatment; the surgical options are reserve for cases where the conservative management have failed and when the spontaneous closure of the fistula is unlikely. In our case, conservative management for the pancreaticopleural fistula failed and the patient presented another complication of the pancreatitis, for which we decided to perform a minimally invasive resective surgery to treat both complications. Conclusion: This is the first case of a pancreaticopleural fistula with superinfected pancreatic necrosis managed with a video-assisted retroperitoneal pancreatic necrosectomy. This case will give surgeons another tool to treat these conditions that has less complications than other resective pancreatic surgeries and can solve both complications.Introduction: Pancreaticopleural fistula is a rare complication of both acute and chronic pancreatitis. Here, we present a case of a pancreaticopleural fistula treated with Video-Assisted Retroperitoneal Debridement (VARD). Case presentation: A 52-year-old male with a history of severe acute biliary pancreatitis presented with cough, chest pain and fever. Physical exam showed absent respiratory sounds in the right base. Chest tomography revealed a right pleural collection. The patient underwent a right thoracotomy which confirmed a pancreaticopleural fistula, and then an ERCP was performed for conservative management and the patient was discharged. The patient was re-admitted on the 27th postoperative day where we confirmed a superinfected pancreatic necrosis and persistence of the fistula; the patient underwent a VARD for the treatment of both conditions. The patient was discharged after completing 5 weeks of antibiotic management. Discussion: The management of a pancreaticopleural fistula is based on medical and endoscopic treatment; the surgical options are reserve for cases where the conservative management have failed and when the spontaneous closure of the fistula is unlikely. In our case, conservative management for the pancreaticopleural fistula failed and the patient presented another complication of the pancreatitis, for which we decided to perform a minimally invasive resective surgery to treat both complications. Conclusion: This is the first case of a pancreaticopleural fistula with superinfected pancreatic necrosis managed with a video-assisted retroperitoneal pancreatic necrosectomy. This case will give surgeons another tool to treat these conditions that has less complications than other resective pancreatic surgeries and can solve both complications.spa
dc.description.indexingRevista Internacional - No indexadaspa
dc.description.quartilescopusQ3spa
dc.description.quartilewosQ3spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889785/spa
dc.identifier.doihttps://doi.org/10.1016/j.ijscr.2019.10.068spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn22102612spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/53908
dc.language.isoengspa
dc.relation.citationendpage20spa
dc.relation.citationstartpage16spa
dc.relation.citationvolume66spa
dc.relation.ispartofjournalInternational Journal of Surgery Case Reportsspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordVideo-assisted retroperitoneal necrosectomyspa
dc.subject.keywordPancreaticopleural fistulaspa
dc.subject.keywordPancreatic necrosisspa
dc.subject.keywordCase reportspa
dc.titleSurgical management of pancreaticopleural fistula with video-assisted retroperitoneal pancreatic debridement : a case reportspa
dc.type.coarhttp://purl.org/coar/resource_type/c_93fcspa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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