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Case Studies | Medical Surgical | India | Volume 12 Issue 1, January 2023
Pleural Effusion in Chronic Pancreatitis: An Unusual Complication
Shivani R. Halde | Gautam A Shroff | Smita B Shinde
Abstract: Pancreatic pleural fistula is a rare complication of chronic pancreatitis.Consequent to fistulous tract between the pleural cavity thus gives rise to large volumes of pleural fluid. It produces a delay indiagnosis since the origin of pleural fluid is extrathoracic. An ex-alcoholic male with a history of pancreatitis presented with pulmonary symptoms.Ultra sonogram of the chest revealed pleural effusion. Thoracocentesis & Pleural fluid amylase level was raised in 3666 U/L. The basic medical management and octreotide therapy was started. subsequently, an endoscopic retrograde cholangiopancreatography (ERCP )delineated fistulous tract originating from pancreas to posterior mediastinum via oesophageal hiatus. The stunt was placed across the disrupted duct,and he discharged after the symptoms subsided.
Keywords: Chronic pancreatitis, Pleural effusion, Pancreatic-pleural fistula
Edition: Volume 12 Issue 1, January 2023,
Pages: 95 - 97