Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

High amylase pleural effusion remains an entity which includes a wide variety of differentials, with pancreatitis, oesophageal rupture or malignant pleural effusion being most commonly encountered in clinical practice. Keeping the clinical picture (suggestive of pain in abdomen preceding any respiratory complaints) and differentials at hand, the case was evaluated with contrast-enhanced CT of the thorax and abdomen which revealed normal pancreatic architecture and no abnormal communication was noted between the pancreas and pleural space. A contrast oesophagogram, done when pancreatitis was ruled out, showed no evidence of any leak. The patient underwent upper gastrointestinal endoscopy which was suggestive of an ulcer with fistulous communication with the pleural space. Following nasojejunal feeding and clipping of the fistulous tract the patient’s symptoms improved.

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Rare case of high amylase pleural effusion without pancreatitis, oesophageal rupture or malignancy

Baishya

Dua

Singh

et al. 2022

BMJ Case Rep

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Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Rare case of high amylase pleural effusion without pancreatitis, oesophageal rupture or malignancy

Rare case of high amylase pleural effusion without pancreatitis, oesophageal rupture or malignancy

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