Pancreaticopleural fistula: a rare thoracic complication of pancreatic duct disruption

Duncan, N D; Ramphal, Paul S.; Dundas, Simone E.; Gandreti, Nischal K.; Robinson-Bridgewater, Lilieth A.; Plummer, Joseph M

doi:10.1016/j.jpedsurg.2005.11.082

Cited by 15 publications

(28 citation statements)

References 12 publications

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“…(1)(2)(3)(4)(5) The usual causes of PPF include trauma, surgical procedures and chronic pancreatitis with duct disruption of any aetiology and the incidence of PPF is about 0.4-4.5% in cases of pancreatitis. (1) In pancreaticopleural fistula due to pancreatitis, large pleural fluid accumulates due to transdiaphragmatic fistulous tracts which allows a communication between the pseudocyst/peripancreatic collection and the pleural cavity.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Cause of Persistent Pleural Effusion in a Patient With Chronic Pancreatitis

Parvathi¹,

Vyasaraja²,

Sharanappa³

2016

jemds

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BACKGROUNDPersistent pleural effusions pose a diagnostic challenge and need extensive workup to come to a conclusion. Pancreaticopleural Fistula (PPF) is one of the rare causes for persistent massive pleural effusions (1-5). It is seen especially in patients who are alcoholic and with a history of pancreatitis. We report a case of persistent pleural effusion resulting from a pancreatic pse udocyst communicating with pleural cavity in a patient with past history of pancreatitis.

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Section: Discussionmentioning

confidence: 99%

“…(1)(2)(3)(4)(5) The presence of a large, recurrent pleural effusion may be the only presentation as the pancreatic disease is often asymptomatic and subclinical. It is the amylase activity of the pleural fluid, which is markedly elevated when compared to serum levels.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Cause of Persistent Pleural Effusion in a Patient With Chronic Pancreatitis

Parvathi¹,

Vyasaraja²,

Sharanappa³

2016

jemds

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“…Pleuropulmonary complications such as atelectasis, pneumonitis, adult respiratory distress syndrome and pleural effusion are relatively frequent in patients with acute pancreatitis 1 4 5. Small, left-sided and self-limited pleural effusions are probably the result of a sympathetic, chemically induced diaphragm-pleural inflammatory process and occur in 4–17% of patients with acute pancreatitis 1 4.…”

Section: Discussionmentioning

confidence: 99%

“…Small, left-sided and self-limited pleural effusions are probably the result of a sympathetic, chemically induced diaphragm-pleural inflammatory process and occur in 4–17% of patients with acute pancreatitis 1 4. They resolve spontaneously as the pancreatic inflammatory process subsides 4.…”

Section: Discussionmentioning

confidence: 99%

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An unexpected cause of pleural effusion in paediatric emergency medicine

et al. 2013

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SUMMARYPancreaticopleural fistula (PPF) is an uncommon complication of chronic pancreatitis leading to a large and recurrent pleural effusion. Since the patients presented predominantly with respiratory symptoms, diagnosis and treatment were often delayed. We describe a child who was admitted to our paediatric emergency department with an acute onset of dyspnoea and unilateral massive pleural effusion caused by PPF. Multidetector CT is an easily accessible method that is able to show both the thoracic and abdominal findings non-invasively. The clinical and imaging features of this unusual entity are discussed. BACKGROUND

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