Pancreaticopleural fistula: as a one of complication of bariatric surgery

Mohammed Al ismail1, Naif Al-Thobaiti2, Yasser Al Jehani, PhD2. 1King Abdulaziz hospital, National Guard of Al Ahsa, 2King Fahad hospital of Dammam university

Pleuropulmonary complications of pancreatitis are rare. Pancreaticopleuralfistula (PPF) could be a consequence of pancreatitis in post-bariatric patients. Pancreatic stenting by using endoscopic retrograde cholangiopancreatography (ERCP) is difficult in abnormal upper gastrointestinal anatomy, and percutaneous route is difficult in mesh repair of incisional abdominal hernia.We represent a case of a 35-year-old female with biliopancreatic diversion admitted with recurrent episode of pancreatitis, complicated with pseudocyst and development of a pancreaticopleural fistula. Successful medical management was achieved, and she made a full recovery. This case demonstrates that the rarity of such a condition leads to delay as well as challenges in diagnosis and management.

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