Endoscopic management of a persistent pancreatopleural fistula

Fi s tu l a s f rom p a n c r e a t i c ducts to the t h o r a x a re u n c o m m o n . The d iagnos is is b a s e d on ches t radiogr a p h y and e l eva t ed levels of a m y l a s e in the p l eu ra l effusion. Medical t r e a t m e n t is ineffect ive in 50% of pa t i en t s . We r e p o r t a case of p a n c r e a t o p l e u r a l fist u l a successfu l ly t r e a t e d b y endoscopic i n se r t i on of a s tent .