Left pleural effusion caused by pancreaticopleural fistula with a pancreatic pseudocyst

Hirosawa, Takanobu; Shimizu, Taro; Isegawa, Takuya; Tanabe, Minoru

doi:10.1136/bcr-2016-217175

Cited by 10 publications

(20 citation statements)

References 4 publications

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“…There is no consensus regarding the optimal treatment. Conservative management should be the first option; despite its low rates of complete resolution, there are reports of success and this modality avoids the possibility of complications arising from invasive procedures; however, it is often associated with lengthier hospital stays 32 , 12 ,1, 36 ,6, 22 , 11 . Endoscopic treatment should be the second-line therapy, indicated for those individuals who did not respond to clinical measures, since it presents good results and lower morbidity and mortality than surgery 5 , 23 , 24 ,4, 28 , 26 , 27 .…”

Section: Discussionmentioning

confidence: 99%

Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

Cazzo

Apodaca-Rueda

Chaim

et al. 2017

ABCD, arq. bras. cir. dig.

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Introduction:Pancreaticopleural fistula is a rare complication of chronic pancreatitis. Objective:To describe pancreaticopleural fistula due to chronic pancreatitis and perform an extensive review of literature on this topic. Methods:Comprehensive narrative review through online research on the databases Medline and Lilacs for articles published over the last 20 years. There were 22 case reports and four case series selected. Results:The main indication for surgical treatment is the failure of clinical and/or endoscopic treatments. Surgery is based on internal pancreatic drainage, especially by means of pancreaticojejunostomy, and/or pancreatic resections. Conclusion:Pancreaticopleural fistula is a rare complication of chronic pancreatitis and the Frey procedure may be an appropriate therapeutic option in selected cases when clinical and endoscopic treatments are unsuccessful.

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Section: Discussionmentioning

confidence: 99%

Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

Cazzo

Apodaca-Rueda

Chaim

et al. 2017

ABCD, arq. bras. cir. dig.

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“…However, it can occur on the right side (19%-40%) or bilaterally (14%-17%) [1]. Presenting symptoms are mainly pulmonary related, with dyspnea being the most common presenting symptom in 65%-76% of the cases [1][2][3][4][5][6]8,9]. Abdominal symptoms were reported in 24% of the cases.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…As symptoms are mainly pulmonary, the diagnosis is usually delayed with the average time of diagnosis is 5 weeks [3]. Diagnosis can be established via thoracentesis with pleural fluid analysis demonstrating exudative effusion with high amylase level [1,3,8,10]. There is no cut-off point for amylase level.…”

Section: Diagnosismentioning

confidence: 99%

“…Complications of ERCP treatment include anatomical disruption of pancreatic duct and recurrent fluid accumulation. Surgical treatment is the last resort when medical and ERCP treatment fail [1][2][3][4][5][6][7][8]. With the advanced surgical techniques, surgical treatment now has low morbidity and mortality, associated with quicker recovery and better outcome than medical or endoscopic treatment.…”

Section: Treatmentmentioning

confidence: 99%

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Pancreaticopleural Fistula: A Rare Presentation and a Rare Complication

Ramahi

Aburayyan

Ahmed

et al. 2019

Cureus

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Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis that requires a high index of clinical suspicion as patients typically present with pulmonary symptoms related to the pleural effusion rather than pancreatitis. Diagnosis is made by detection of amylase in the pleural fluid. Magnetic resonance cholangiopancreatography can aid in visualizing the fistula. We present a case of massive left pleural effusion secondary to a PPF due to acute on chronic pancreatitis.

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“…Pancreatic pseudocyst was reported as an etiology of BPE in several studies. [ 5 , 6 ] Pancreatic pseudocyst is a type of cystic tumor that most commonly occurs as a complication of acute or chronic pancreatitis, pancreatic injuries, and pancreatectomy. [ 7 , 8 ] The clinicopathologic features of this cyst include a cystic wall without an epithelial cell lining and black cystic fluid with a high amylase concentration.…”

Section: Introductionmentioning

confidence: 99%

Black pleural effusion due to pancreatic pseudocyst

Guo

Peng

et al. 2017

Medicine

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Rationale:Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst.Patient concerns:We herein reported a case of a 14-year-old female patient who was admitted to our center with a history of cough for 1 and a half months and right chest pain for 1 month. Before this, she was consecutively hospitalized in 3 different hospitals due to the same symptoms. However, the previous treatments were ineffective due to the lack of a definitive diagnosis. Laboratory examination of the pleural effusion showed BPE with a high amylase concentration. Chest x-ray and computed tomography (CT) showed massive pleural effusion, more prominent in the right chest. CT and MRCP of the abdomen showed a cystic lesion located in the tail of the pancreas, which entered the chest cavity via an esophageal hiatal hernia.Diagnoses:pancreatic pseudocyst.Interventions:After confirming that the tumor was a pancreatic pseudocyst by intraoperative biopsy, internal drainage to the jejunum was performed.Outcomes:The postoperative recovery was rapid and without complications, and the final discharge diagnosis was idiopathic pancreatic pseudocyst (without history of pancreatitis or pancreatic injuries) with BPE of the right chest.Lessons:This case demonstrates that massive BPE could present as a rare complication of pancreatic pseudocyst, and surgery is a potential treatment for such patients.

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Left pleural effusion caused by pancreaticopleural fistula with a pancreatic pseudocyst

Cited by 10 publications

References 4 publications

Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

Pancreaticopleural Fistula: A Rare Presentation and a Rare Complication

Black pleural effusion due to pancreatic pseudocyst

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