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Pancreatic pseudocyst causing portal vein thrombosis and pancreatico-pleural fistula.
  1. P A McCormick,
  2. N Chronos,
  3. A K Burroughs,
  4. N McIntyre,
  5. J E McLaughlin
  1. Academic Department of Medicine, Royal Free Hospital School of Medicine, London.


    Portal vein thrombosis and pancreatico-pleural fistula are unusual complications of chronic pancreatitis. We describe a patient with chronic alcoholic pancreatitis in whom erosion of the splenic vein led to portal vein thrombosis and to the development of a pancreatico-pleural fistula. We suggest that fistula formation may occur over a considerable time period as the portal vein thrombosis was diagnosed three years before the amylase-rich pleural effusions.

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