<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cuban de Med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232024000100019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula pancreatopleural secundaria a pancreatitis crónica]]></article-title>
<article-title xml:lang="en"><![CDATA[Pancreatopleural Fistula Secondary to Chronic Pancreatitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guanche Valencia]]></surname>
<given-names><![CDATA[Osmani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Machín]]></surname>
<given-names><![CDATA[Raúl Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2 "/>
<xref ref-type="aff" rid="Af2"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Almagro]]></surname>
<given-names><![CDATA[Aimé Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Dr. Miguel Enríquez  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Docente Dr. Miguel Enríquez  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>63</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232024000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232024000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232024000100019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Se considera una fístula pancreática a cualquier comunicación anormal entre un ducto pancreático y otra superficie epitelial con la extravasación de líquido rico en enzimas pancreáticas.  Objetivo:  Describir la experiencia en el diagnóstico y manejo terapéutico en un paciente con fístula pancreática no iatrogénica.  Presentación del caso:  Se presentó un paciente masculino con antecedentes de pancreatitis crónica de origen etílico, que acude por cuadro de insuficiencia respiratoria aguda, dolor abdominal y fiebre.  Conclusiones:  Las fístulas pancreatopleurales no son entidades frecuentes; sin embargo, deben sospecharse ante cualquier caso de derrame pleural derecho tras manipulación de la glándula pancreática, procederes invasivos retroperitoneales y/o antecedentes de pancreatitis. El caso presentado tuvo una resolución favorable con terapéutica mínimamente invasiva (toracocentesis), uso de octreótide y antibioticoterapia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  A pancreatic fistula is considered any abnormal communication between a pancreatic duct and another epithelial surface with the extravasation of fluid rich in pancreatic enzymes.  Objective:  To describe the experience in diagnosis and therapeutic management in a patient with non-iatrogenic pancreatic fistula.  Case report:  The case of a male patient with history of chronic pancreatitis of alcohol origin is reported. This individual had symptoms of acute respiratory failure, abdominal pain and fever.  Conclusions:  Pancreatopleural fistulas are not frequent entities, however they should be suspected in any case of right pleural effusion after manipulation of the pancreatic gland, retroperitoneal invasive procedures and/or history of pancreatitis. This case had favorable resolution with minimally invasive therapy (thoracentesis), use of octreotide and antibiotic therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis]]></kwd>
<kwd lng="es"><![CDATA[fístula pancreática]]></kwd>
<kwd lng="es"><![CDATA[derrame pleural]]></kwd>
<kwd lng="en"><![CDATA[pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[pancreatic fistula]]></kwd>
<kwd lng="en"><![CDATA[pleural effusion.]]></kwd>
</kwd-group>
</article-meta>
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