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Pancreaticopleural Fistula with Bilateral Pleural Effusion due to Chronic Calcific Pancreatitis.
Indian J Pediatr
January 2025
Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Pancreaticopleural fistula causing recurrent bilateral pleural effusions: A case report.
Medicine (Baltimore)
December 2024
Department of Gastroenterology, The Second Affiliated Hospital of Nanchang University, Jiangxi, China.
Rationale: Pancreaticopleural fistula (PPF) is an infrequent etiology of pleural effusion, characterized by nonspecific thoracic symptoms, which often leads to misdiagnosis and subsequent severe complications. Consequently, early diagnosis is crucial for effective management and the prevention of adverse outcomes. This report presents a rare case of PPF causing bilateral pleural effusions, aiming to enhance clinical recognition of this condition.
View Article and Find Full Text PDFPancreaticopleural fistula: a rare aetiology of pleural effusion.
BMJ Case Rep
December 2024
General and Upper Gastrointestinal Surgery, NHS Lanarkshire, Bothwell, South Lanarkshire, UK.
Pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis, which clinically presents as a pleural effusion and often with an absence of typical abdominal symptoms associated with pancreatic disease.We describe a man in his early 50s who presented to the emergency department with pleuritic chest pain and progressive breathlessness with a history of alcohol excess. Chest X-ray demonstrated a bilateral pleural effusion with a dark red amylase-rich exudate on needle aspiration, necessitating a chest drain insertion.
View Article and Find Full Text PDFPancreaticopleural fistula: you can only find it if you look for it.
Rev Esp Enferm Dig
December 2024
Gastroenterology, Hospital Universitario de Navarra.
We present a case of a 52-year-old man with chronic toxic pancreatitis and history of multiple hospital admissions secondary to pancreatitis exacerbation. Due to persistent respiratory symptoms a thoracoabdominal computerized tomography (CT) was performed. The CT showed a new significant right pleural effusion as well as inflammatory changes secondary to acute pancreatitis.
View Article and Find Full Text PDFPancreaticopleural fistula: Case report and review of the literature.
Am J Med Sci
November 2024
Digestive Disease Research Center, Medical University of South Carolina, Charleston, SC, USA.
A pancreatic fistula is defined as the leakage of pancreatic fluid into another organ or compartment because of pancreatic duct disruption or pseudocyst formation. It is most often seen in middle-aged men between 40 and 50, particularly in patients who have a history of chronic alcoholism and pancreatitis. The tract may fistulae into the pleura, creating a pancreaticopleural fistula, an exceedingly rare condition presenting as a recurrent pleural effusion and extremely high amylase levels, a key distinguishing factor in diagnosis.
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