| Author |
Gender/Age (years) |
Pancreatitis’ etiology |
Presenting symptoms |
Imaging diagnosis |
Treatment |
Outcome |
| Molinuevo et al.99 Gomes CHR, Diniz GS, Ribeiro FM et al. [Pancreaticopleural fistula with intrathoracic pseudocyst: case report]. Rev. méd. Minas Gerais. 2003; 13(1): 64-66.
|
M/28 |
Alcoholic |
Dyspnea |
CT, ERCP |
Pleural drainage, Puestow procedure |
Asymptomatic after 12 months |
| M/37 |
Alcoholic |
Dyspnea |
CT, ERCP |
Thoracocentesis, Puestow procedure |
Asymptomatic after 24 months |
| M/41 |
Alcoholic |
Dyspnea |
CT, ERCP |
Thoracocentesis, Distal pancreatectomy with Roux-en-Y pancreatojejunostomy |
Asymptomatic after 20 months |
| Materne et al.1010 Hastier P, Rouquier P, Buckley M et al. Endoscopic treatment of Wirsungo-cysto-pleural fistula. Eur J Gastroenterol Hepatol. 1998; 10:527-9.
|
M/50 |
Alcoholic |
Dyspnea, chest pain |
CT, ERCP, MRI |
Thoracocentesis, total parenteral nutrition, somatostatin infusion, Distal pancreatectomy with longitudinal pancreatojejunostomy |
NR |
| M/32 |
Alcoholic |
Dyspnea |
CT, ERCP, MRI |
Thoracocentesis, somatostatin infusion, placement of an endoscopic stent |
Uneventful in the immediate post-procedure period |
| Neher et al.1111 Hirosawa T, Shimizu T, Isegawa T et al. Left pleural effusion caused by pancreaticopleural fistula with a pancreatic pseudocyst. BMJ Case Rep. 2016 Aug 24;2016. pii: bcr2016217175.
|
M/53 |
Alcoholic |
Dyspnea, chest pain, coughing |
CT, ERCP |
Thoracocentesis, placement of an endoscopic stent |
Without pleural effusion after five months |
| Takeo et al.1212 Ito H, Matsubara N, Sakai T et al. Two cases of thoracopancreatic fistula in alcoholic pancreatitis: clinical and CT findings. Radiat Med. 2002 Jul-Aug;20(4):207-11.
|
M/67 |
Alcoholic |
NR |
CT, ERCP |
Thoracocentesis, total parenteral nutrition, octreotide |
Asymptomatic at discharge |
| Ito et al.1313 Joseph J, Viney S, Beck P et al. A prospective study of amylase-rich pleural effusions with special reference to amylase isoenzyme analysis. Chest 1992;102: 1455-9.
|
M/52 |
Alcoholic |
Coughing, back pain |
CT |
Pleural drainage, octreotide |
NR |
| F/39 |
Alcoholic |
Coughing, sputum |
CT |
Conservative |
NR |
| Akahane et al.1414 King JC, Reber HA, Shiraga S et al. Pancreatic-pleural fistula is best managed by early operative intervention. Surgery. 2010 Jan;147(1):154-9.
|
M/69 |
Alcoholic |
Coughing, dyspnea, chest pain |
CT, MRI, ERCP |
Thoracocentesis, total parenteral nutrition, octreotide |
Asymptomatic after five years |
| Lanternier et al.1515 Koshitani T, Uehara Y, Yasu T et al. Endoscopic management of pancreaticopleural fistulas: a report of three patients. Endoscopy. 2006 Jul;38(7):749-51.
|
M/64 |
Alcoholic |
Dyspnea, coughing, cardiac tamponade |
CT, MRI, ERCP |
Pleural drainage, placement of endoscopic stent, distal pancreatectomy with pancreatojejunostomy |
Without reccurrence after 12 months |
| Lamme et al.1616 Lamme B, Boerma D, Boermeester MA et al. [Pleural fluid in chronic pancreatitis]. Ned Tijdschr Geneeskd. 2003 Jul 26;147(30):1437-41.
|
F / 44 |
Alcoholic |
Dyspnea, coughing |
NR |
Pleural drainage |
Death by pneumonia |
| M/54 |
Alcoholic |
Dyspnea, coughing |
NR |
Pancreatic resection |
Recovery in the immediate postoperative period |
| M/42 |
Alcoholic |
Dyspnea, coughing |
NR |
Pancreatic resection |
Recovery in the immediate postoperative period |
| Meybeck et al.1717 Lanternier F, Valcke J, Hernigou A et al. [Bilateral pleurisy and cardiac tamponade. A rare etiology: pancreatico-pleural fistula]. Rev Mal Respir. 2002 Dec;19(6):795-7.
|
M/39 |
Alcoholic |
Dyspnea, chest pain |
CT |
Pleural drainage, ocreotide, antibiotics, pleural decortication, percutaneous drainage of pancreatic pseudocyst |
Partial involution of the pseudocyst and regression of pulmonary images after six months |
| Neumann et al.1818 Leoz MK, Garde RI, Costas JJV et al. Derrame pleural secundário a fístula pancreático-pleural pospancreatitis aguda. Gastroenterología y Hepatología. 2012; 35(2):70-73.
|
M/68 |
NR |
Dyspnea, chest pain |
CT, ERCP |
Placement of an endoscopic stent, antibiotics |
Regression after three weeks |
| Dhebri et al.55 Dhebri AR, Ferran N. Nonsurgical Management of Pancreaticopleural Fistula. J Pancreas 2005; 6 (2): 152-161.
|
F/47 |
Alcoholic |
Dyspnea, chest pain, coughing |
CT, ERCP |
Pleural drainage, endoscopic sphyncterotomy, octreotide |
Lost to follow-up after discharge |
| M/46 |
Alcoholic |
Dyspnea, chest pain, coughing |
CT, ERCP |
Pleural drainage, endoscopic placement of pancreatic stents, octreotide |
Doing well after two months |
| M/54 |
Alcoholic |
Dyspnea, chest pain |
CT, ERCP, MRI |
Pleural drainage, ocreotide |
Doing well after six months |
| Zubiaurre et al.1919 Materne R, Vranckx P, Pauls C et al. Pancreaticopleural fistula: diagnosis with magnetic resonance pancreatography. Chest. 2000 Mar;117(3):912-4.
|
M/40 |
Alcoholic |
Dyspnea, back pain |
CT, MRI |
Pleural drainage, total parenteral nutrition |
Remission after one month |
| Koshitani et al.2020 Meybeck A, Gouteux D, Bolard F et al. [A rare complication of chronic pancreatitis: pancreatico-pleural fistula]. Rev Pneumol Clin. 2003 Sep;59(4):205-8.
|
M / 45 |
Alcoholic |
Fever, coughing |
CT, ERCP |
Pleural drainage, placement of an endoscopic stent |
No recurrence after 33 months |
| M/56 |
Alcoholic |
Dyspnea |
CT, ERCP |
Pleural drainage, placement of an endoscopic stent, percutaneous drainage of pancreatic pseudocyst, distal pancreatectomy |
No recurrence after 20 months |
| M/65 |
Alcoholic |
Dyspnea on exertion |
CT, ERCP |
Pleural drainage, endoscopic placement of stent |
No recurrence after eight months |
| Cocieru et al.2121 Molinuevo JL, Moitinho E, Font MC et al. [Massive pleural effusion secondary to pancreatic-pleural fistula as first manifestation of chronic pancreatitis. Report of three cases]. Med Clin (Barc). 1997 Jul 5;109(6):222-4.
|
M/59 |
Alcoholic |
Dyspnea |
MRI, ERCP |
Thoracocentesis, Frey procedure |
No recurrence after three years |
| Vyas et al. 2222 Mota RD, Antunes LM, Alcântara CO et al. [Pancreaticopleural fistula]. Arq Bras Cir Dig. 2011; 24(3): 251-252.
|
M/53 |
NR |
Dyspnea, fever, hemoptysis, chest pain |
CT, MRI, ERCP |
Pleural drainage, pancreaticojejunostomy |
NR |
| Cooper et al.2323 Neher JR, Brady PG, Pinkas H et al. Pancreaticopleural fistula in chronic pancreatitis: resolution with endoscopic therapy. Gastrointest Endosc. 2000 Sep;52(3):416-8.
|
M/72 |
Pancreas pseudodivisum |
Dyspnea |
CT, EUS, ERCP |
Thoracocentesis, EUS-guided placement of pancreatic stent, |
No recurrence after one year |
| Thyagaraj et al.2424 Neumann S, Caca K, Mössner J. [Pancreatico-pleural fistula in chronic pancreatitis with necrosis of the pancreatic tail]. Dtsch Med Wochenschr. 2004 Aug 20;129(34-35):1802-5.
|
M/49 |
Alcoholic, incomplete pancreas divisum |
Dyspnea, chest pain, weight loss |
CT, MRI |
Pleural drainage, distal pancreatectomy |
NR |
| Ferris et al. 2525 Nigro AJT, Paes-Leme LF, Tosi PS et al. Surgical treatment of chronic pancreatitis: an analysis of 62 cases. Arq Bras Cir Dig. 1995; 10(3): 84-8.
|
F/51 |
Alcoholic |
Dyspnea, epigastric pain |
CT, MRI, ERCP |
Thoracocentesis, Endoscopic placement of stent, antibiotics |
Resolution in the immediate post-procedure period |
| Sonoda et al.2626 Oh YS, Edmundowicz SA, Jonnalagadda SS et al. Pancreaticopleural fistula: report of two cases and review of the literature. Dig Dis Sci. 2006 Jan;51(1):1-6.
|
M/53 |
Alcoholic |
Dry coughing, dyspnea, heart palpitations |
CT, MRI, ERCP |
Pleural drainage, total parenteral nutrition, octreotide, distal pancreatectomy |
Doing well immediately after recovery from surgery |
| Shah et al. 2727 Sánchez A, Ramírez de la Piscina P, Duca IM[Right pleural effusion secondary to a pancreaticopleural fistula in a patient with asymptomatic chronic pancreatitis]. Gastroenterol Hepatol. 2016 Oct;39(8):529-31.
|
M/32 |
Alcoholic |
Dyspnea, chest pain, coughing, abdominal pain |
CT, MRI, ERCP |
Endoscopic placement of stent |
No recurrence after one year |
| Mota et al. 2828 Shah D, Desai AB, Salvi B. Pancreaticopleural fistula complicating chronic pancreatitis. BMJ Case Rep. 2012 Aug 8;2012. pii: bcr0320126038.
|
F/52 |
Alcoholic |
Dyspnea |
CT |
Thoracocentesis, Partingon-Rochelle procedure |
Doing well immediately after recovery from surgery |
| Gomes et al.2929 Soares JT, Ressurreição J, Marques I et al. Pancreatopleural fistula contributing to a large volume recurrent pleural effusion. Rev Port Pneumol (2006). 2015 May-Jun;21(3):163-4.
|
M/44 |
Alcoholic |
Dyspnea at exertion, dry coughing, chest pain |
CT, ERCP |
Thoracocentesis, total parenteral nutrition |
Regression of pleural effusion on discharge |
| Hirosawa et al.3030 Sonoda S, Taniguchi M, Sato T et al. Bilateral pleural fluid caused by a pancreaticopleural fistula requiring surgical treatment. Intern Med. 2012;51(18):2655-61.
|
M/58 |
Alcoholic |
Chest pain |
CT, ERCP |
Pleural drainage, endoscopic placement of stent, antibiotics |
Regression of pleural effusion on discharge; patient lost to follow-up and died after two years of an unknown cause |
| Oh et al.3131 Speranzini MB, Bassi DG, Cauduro AB et al. [Treatment of the traumatic pancreatic duct stenosis by pancreaticojejunostomy]. Arq Bras Cir Dig. 2004; 17(1): 67-70.
|
M/32 |
Alcoholic |
Epigastric pain |
ERCP |
Pleural drainage, total parenteral nutrition, endoscopic placement of stent |
Regression after 4 weeks |
| F/47 |
Post-ERCP Pancreatic duct stricture |
Epigastric pain, dyspnea |
ERCP, CT, MRI |
Endoscopic placement of stent |
No recurrence after two months |
| Sánchez et al.3232 Takeo C, Myojo S. Marked effect of octreotide acetate in a case of pancreatic pleural effusion. Curr Med Res Opin. 2000;16(3):171-7.
|
M/51 |
Alcoholic |
Dyspnea, chest pain |
CT, MRI, ERCP |
Thoracocentesis, distal enteral nutrition, octreotide, endoscopic placement of stent |
Asymptomatic after two years |
| Soares et al.3333 Thyagaraj VK, Rangappa P, Jacob I et al. Recurrent pleural effusions: an unusual presentation of chronic pancreatitis. J Assoc Physicians India. 2014 Jul;62(7):627-30.
|
M/43 |
NR (HIV-positive under anti-retroviral therapy) |
Dyspnea |
CT, MRI, ERCP |
Pleural drainage, total parenteral nutrition, somatostatin analogs, endoscopic sphyncterotomy, distal pancreatectomy with Roux-en-Y pancreaticojejunostomy |
Regression of pleural effusion 10 days after surgery |
