A rare case of pancreato-pleural fistula with left sided massive pleural effusion

Authors

  • Priyadharshini V. Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India
  • Sanjay Surya G. S. Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India
  • Gowri A. Shankar Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India
  • Sachin K. Dhande Department of Gastroenterology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India
  • Anbalagan Pichaimuthu Department of Gastroenterology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20221849

Keywords:

Pancreaticopleural fistula, Pleural effusion, Pancreatitis

Abstract

Pancreaticopleural fistula is a very rare complication of acute and chronic pancreatitis. High index of suspicion is needed to diagnose in patients with alcohol induced pancreatitis, presenting with recurrent or persistent pleural effusion. Patient typically presented with pulmonary symptoms, rather than abdominal complaints, leading to delay in the diagnosis. Here we present a case of a known chronic pancreatitis who presented to us with massive left sided pleural effusion. Blood coloured pleural fluid analysis showed lipase and amylase levels in hundred thousand and ten thousand ranges. Diagnosis was made by CECT abdomen and confirmed with MRCP. Patient was treated with first line medical management of thoracocentesis and ERCP with pancreatic duct stenting.

Author Biographies

Priyadharshini V., Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

GENERAL MEDICINE

POST GRADUATE

Sanjay Surya G. S., Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

GENERAL MEDICINE

POST GRADUATE

Gowri A. Shankar, Department of Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

GENERAL MEDICINE

UNIT CHIEF AND ASSOCIATE PROFESSOR

Sachin K. Dhande, Department of Gastroenterology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

MEDICAL GASTROENTEROLOGY

ASSOCIATE PROFESSOR

Anbalagan Pichaimuthu, Department of Gastroenterology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

SURGICAL GASTROENTEROLOGY

ASSOCIATE PROFESSOR

 

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Published

2022-07-25

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Section

Case Reports