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Ann Thorac Surg 2009;87:1262-1264. doi:10.1016/j.athoracsur.2008.08.058
© 2009 The Society of Thoracic Surgeons
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Chris Cook
Rodney J. Landreneau
Matthew J. Schuchert
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Case Reports

Pancreaticopleural Fistula Presenting as Right-Sided Hemothorax

Arman Kilic, BS, Chris Cook, MD, Irfan Qureshi, MD, Rodney J. Landreneau, MD, Matthew J. Schuchert, MD*

Heart, Lung, and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Accepted for publication August 26, 2008.

* Address correspondence to Dr Schuchert, University of Pittsburgh Medical Center, Shadyside, 5200 Centre Ave, Ste 715, Pittsburgh, PA 15232 (Email: schuchertmj{at}upmc.edu).

Pancreaticopleural fistula represents a rare complication of pancreatitis. We report the case of a pancreaticopleural fistula presenting as recurrent right-sided hemothorax in a 43-year-old man. The patient was successfully treated with open surgical drainage and decortication, followed by octreotide, total parenteral nutrition, and stent placement in the pancreatic duct.






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