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대량 우측 흉막 삼출로 발현한 알코올성 만성 췌장염 1예

Other Titles
 Massive right pleural effusion as the first manifestation of chronic alcoholic pancreatitis 
Authors
 조승현  ;  정준표  ;  서원태  ;  한기준  ;  이세준  ;  박효진  ;  문병수  ;  송시영  ;  이관식  ;  정재복  ;  이상인  ;  강진경 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.22(2) : 126-130, 2001 
Journal Title
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) 
ISSN
 1225-7001 
Issue Date
2001
Keywords
Right Pleural Effusion ; Chronic Pancreatitis ; Alcoholic ; Octreotide
Abstract
Patients with chronic pancreatitis develop massive pleural effusion in less than 1% and its frequency as the first clinical manifestation of the disease is unknown. Moreover, pleural effusions associated with pancreatitis are usually left-sided because the pancreas is more intimately related to the left hemidiaphragm than to the right. Recently, we experienced a case of massive right pleural effusion as the first manifestation of chonic alcoholic pancreatitis in a 39 year-old man. Pancreatic pleural effusion was diagnosed by combination of high pancreatic enzyme levels in the pleural fluid and imaging findings. A conservative management including fasting, total parenterl nutrition, and octreotide administration subcutaneously (100μg, t.i.d.) resulted in a complete recovery of the patient, We herein report this unusual manifestation of chronic alcoholic pancreatitis and discuss the therapeutic issues related to pancreatic fistulas, (Korean J Gastrointest Endosc 2001;22:126 - 130)
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Moon, Byung Soo(문병수)
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
Lee, Se Joon(이세준) ORCID logo https://orcid.org/0000-0002-2695-2670
Chung, Jae Bock(정재복)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165582
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