Case Report
Pancreaticopericardial Fistula: A Case Report and Literature Review
Table 1
Pancreaticopericardial fistula cases from 1971 to 2014 with patient demographics, symptoms, diagnostic test, and treatments.
| | Author | Year | Sex | Age | Alcohol | Chronic pancreatitis | Acute pancreatitis | Presenting symptoms | Dyspnea | Abdominal pain | Fever | Hypotension | Chest pain | Tamponade physiology | Pericardial drain | Diagnostic modality | Serum amylase | Pericardial amylase | Treatment | Patient outcomes |
| |
Lipson and Stephenson [1] | 1971 | M | 40 | N | Y | N | Ascites | N | N | N | N | N | N/A | N | Surgical exploration | 613 | N/A | Surgical | Recovered |
| |
Davidson et al. [2] | 1979 | M | 39 | Y | Y | N | Chest pain | Y | N | Y | N/A | Y | N | Pericardiocentesis | Surgical exploration | 2000 | 12700 | Surgical | Recovered |
| | Imai et al. [3] | 1993 | M | 42 | Y | Y | Y | Dyspnea | Y | N | N | N | N | Y | Pericardiocentesis | ERCP | 1681 | 6094 | Surgical | Recovered |
| | Schoonjans et al. [4] | 1996 | M | 42 | Y | Y | Y | Impending tamponade | Y | N | Y | N | N | N | N | ERCP | 1413 | N/A | Conservative management | Recovered |
| | Tan et al. [5] | 2002 | M | 28 | Y | Y | N | Weight loss | Y | N | Y | N | N | Y | Pericardial drain | CT scan | N/A | 5900 | Surgical | Recovered |
| |
Oláh et al. [6] | 2002 | M | 41 | Y | Y | N | Dyspnea | Y | N | Y | Y | Y | Y | Pericardiocentesis | CT scan | 748 | 226 | Ultrasound guided drain placed transhepatically | Recovered |
| | Balasubramanian et al. [7] | 2004 | M | 16 | N | Y | N | Dyspnea | Y | | | | | N | Pericardiocentesis | CT scan | | | Surgical | Recovered |
| |
François et al. [8] | 2005 | M | 60 | N/A | Pancreatic abscess | N/A | Back pain and dyspnea | Y | N | N/A | N/A | N/A | N/A | Pericardiocentesis | ERCP | 20 | 328 | Pericardial window | Recovered |
| | Komtong et al. [9] | 2006 | M | 43 | Y | N | Y | Epigastric pain, dysphagia, orthopnea | | Y | N | N | Y | N | N | ERCP and CT scan | 285 | N/A | ERCP stenting | Recovered |
| | Ching et al. [10] | 2007 | M | 45 | Y | Y | N | Hemoptysis | Y | N | Y | Y | Y | N | N | CTA and MRCP | Normal | N/A | Surgical | Recovered |
| | Bhatt et al. [11] | 2011 | M | 47 | Y | N | Y | Epigastric pain | Y | Y | N | Y | N | Y | Pericardial window | | 1830 | N/A | Pericardial window | Death |
| |
Lamparter and Sundermann [12] |
2013 | M | 57 | Y | N | Y | Abdominal pain | N | Y | N | Y | N/A | Y | Y | ERCP | 130 | 21560 | ERCP stenting | Recovered |
| | Parekh et al. [13] | 2013 | M | 67 | N | Y | Y | Chest pain | Y | N | N | Y | Y | Y | Pericardiocentesis | Surgical exploration | N/A | 24000 | ERCP stenting | Death |
| |
Sommer and Wilcox [14] | 2014 | M | 58 | Y | Y | N | Syncope | Y | N | N | N | N | Y | Y | ERCP | 386 | 633 | ERCP stenting | Death |
| | Khan et al. (above reported case) | 2014 | M | 45 | Y | Y | N | Dyspnea | Y | N | N | y | Y | Y | Pericardiocentesis | CTA and MRCP | Normal | 101 | Endoscopic ultrasound & cystgastrostomy | Recovered |
|
|
M = male, Y = yes, N = no, and N/A = not available.
|
