A Case of Chronic Pancreatitis with Massive Pleural Effusion

다량의 늑막 삼출을 동반한 만성 췌장염 1례

Massive pancreatic pleural effusion is a rare complication of chronic pancreatitis. It results from leakage of pancreatic secretion into the pleural space through the aortic or esophageal hiatus, either by a pancreatic duct disruption or communicating pseudocyst. The presentation of the pancreatic pleural effusion is often misleading as respiratory rather than abdominal symptoms because of predominance of pulmonary complaints. Markedly elevated amylase level of the pleural fluid is highly suggestive of the diagnosis. We experienced a case of chronic pancreatitis with massive pleural effusion in a 9-year-old female, who presented with a 6-months history of intermittent abdominal pain, and cough and chest pain for 3 days.

저자들은 내원 6개월 전부터 간헐적인 복통이 있어오다가 1개월 전부터는 복통이 심해지고, 3일 전부터는 기침과 흉통이 발생되어 내원한 9세 여아에서 다량의 늑막 삼출을 동반한 만성 췌장염 1례를 진단하고 금식, 흉관 삽입, 항생제 및 octreotide의 투여 등의 보존적 방법으로 치료 한 증례를 경험하였기에 문헌 고찰과 함께 보고한다.