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עמוד בית
Sat, 25.05.24

CASE COMMUNICATION

IMAJ | volume 25

Journal 5, May 2023
pages: 352-354

Pancreaticopleural Fistula in the Setting of Pancreatic Divisum with Complete Resolution after Conservative Treatment

1 Department of Gastroenterology and Liver Diseases, Wolfson Medical Center, Holon, Israel 2 Department of Surgery A, Wolfson Medical Center, Holon, Israel 3 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Summary

Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis and usually constitutes a diagnostic challenge. There are many causes for recurrent and chronic pancreatitis, with the main etiology being alcohol and choledocholithiasis [1]. However, the association between pancreatic divisum (PD), a common congenital anomaly of the pancreas that is rarely symptomatic, and complications of pancreatitis is still not firmly established [2]. Furthermore, the optimal management of PPF is still uncertain due to its rarity [3]. We describe a rare case of a 45-year-old woman with recurrent pancreatitis that presented with a PPF on the background of PD, successfully managed with conservative treatment. The purpose of this report is to highlight the rare association between PPF and PD together with the excellent response to conservative therapy.

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