Korean J Gastrointest Endosc > Volume 22(2); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;22(2): 126-130.

증례 : 대량 우측 흉막 삼출로 발현한 알코올성 만성 췌장염 1예 ( Massive Right Pleural Effusion as the First Manifestation of Chronic Alcoholic Pancreatitis - A case report - )

조승현(Seung Hyun Cho),정준표(Jun Pyo Chung),서원태(Won Tae Seo),한기준(Ki Joon Han),이세준(Se Joon Lee),박효진(Hyo Jin Park),문병수(Byung Soo Moon),송시영(Si Young Song),이관식(Kwan Sik Lee),정재복(Jae Bock Chung),이상인(Sang In Lee),강진경(Jin Kyung Kang)

Abstract

Patients with chronic pancreatitis develop massive pleural effusion in less than 1% and its frequency as the first clinical manifestation of the disease is unknown. Moreover, pleural effusions associated with pancreatitis are usually left-sided because the pancreas is more intimately related to the left hemidiaphragm than to the right. Recently, we experienced a case of massive right pleural effusion as the first manifestation of chonic alcoholic pancreatitis in a 39 year-old man. Pancreatic pleural effusion was diagnosed by combination of high pancreatic enzyme levels in the pleural fluid and imaging findings. A conservative management including fasting, total parenterl nutrition, and octreotide administration subcutaneously (100μg, t.i.d.) resulted in a complete recovery of the patient, We herein report this unusual manifestation of chronic alcoholic pancreatitis and discuss the therapeutic issues related to pancreatic fistulas, (Korean J Gastrointest Endosc 2001;22:126 - 130)