Unusual case of persistent unilateral pleural effusion secondary to pancreaticopleural fistula

El-Beialy, Hesham; Fernandez, Ivo

doi:10.1016/j.ijscr.2012.04.018

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…2 Pancreatitis complicating with pancreaticopleural fistula is reported to occur 0.4-4.5%, often resulting from rupture of the pancreatic duct. 3 In our case, the fistulous formation was due to severe necrotising pancreatitis, although the pathology was superimposed by a traumatic injury. The associated pleural effusion is noteworthy for its size, persistence, and recurrence despite repeated thoracentesis.…”

Section: Discussionmentioning

confidence: 55%

The detours of pancreatic ducts, internal pancreatic fistulas: a rare complication of chronic pancreatitis

Satchithanandha,

Park,

Sandroussi

2024

Int Surg J

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Internal pancreatic fistula occurs due to the disruption of the pancreatic duct, resulting in communication with it and another epithelial surface. A rare variant is the pancreaticopleural and pancreaticogastric fistula, typically associated with chronic necrotising pancreatitis, resulting from posterior disruption of the pancreatic duct. It is a complex disease with different aetiologies, varied clinical presentations and multiple management options. Unlike postoperative pancreatic fistula, internal pancreatic fistula lacks guidelines for classification and management. Once an internal fistula is suspected, further imaging work-up and biochemical analysis needs to be performed. Here, we present an unprecedented case of pancreaticopleural fistula on a background of chronic necrotising pancreatitis, and an asymptomatic pancreatico-gastric fistula. To our knowledge, no such case has been previously reported.

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Section: Discussionmentioning

confidence: 55%

The detours of pancreatic ducts, internal pancreatic fistulas: a rare complication of chronic pancreatitis

Satchithanandha,

Park,

Sandroussi

2024

Int Surg J

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“…Pleural effusions caused by PPFs are recurring and usually positive for amylase and lipase [ 4 ]. Thoracentesis typically reveals exudative straw-colored or serosanguinous pleural fluid [ 7 , 8 ]. Over 75% of instances occur on the left side.…”

Section: Introductionmentioning

confidence: 99%

Pancreatitis as a Pulmonary Pathology: A Rare Case of a Pancreaticopleural Fistula Presenting as Recurrent Pleural Effusions Causing Mediastinal Shift

Saleh,

Pawar,

Pillai

et al. 2024

Cureus

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“…Pleural effusions secondary to PPFs characteristically recur and are diagnostically positive for amylase and lipase [4]. Thoracentesis typically reveals exudative pleural fluid with appearance ranging from straw-colored to serosanguinous [6, 7]. They most often occur on the left side, with less than 1/3 occurring on the right side [3].…”

Section: Introductionmentioning

confidence: 99%

Pancreaticopleural Fistula: A Rare Presentation of Bilateral Pleural Effusions and Trapped Lung

Ali

Macdonald

Bui

et al. 2022

Case Rep Gastroenterol

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A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis secondary to a pancreatic pseudocyst or any disruption of the main pancreatic duct. It commonly presents as a recurrent left-sided pleural effusion after multiple thoracentesis. We present a rare case of a 41-year-old woman with numerous flares of chronic pancreatitis presenting with large bilateral serosanguinous pleural effusions and trapped lung secondary to a PPF. To our knowledge, this is the first documented case of a PPF leading to bilateral pleural effusions resulting in a trapped lung.

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Unusual case of persistent unilateral pleural effusion secondary to pancreaticopleural fistula

Abstract: Presentation is misleading in most of cases and needs aware clinicians with a high index of suspicion.

Cited by 7 publications

References 4 publications

The detours of pancreatic ducts, internal pancreatic fistulas: a rare complication of chronic pancreatitis

The detours of pancreatic ducts, internal pancreatic fistulas: a rare complication of chronic pancreatitis

Pancreatitis as a Pulmonary Pathology: A Rare Case of a Pancreaticopleural Fistula Presenting as Recurrent Pleural Effusions Causing Mediastinal Shift

Pancreaticopleural Fistula: A Rare Presentation of Bilateral Pleural Effusions and Trapped Lung

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