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Young Patient with Right Sided Pleuro-Pancreatic Fistula - An Unusual Presentation
Hydrothorax secondary to a pancreaticopleural fistula (PPF) is a rare complication of acute pancreatitis. In patients with a history of pancreatitis, diagnosis is made by detection of amylase in the pleural exudate. Imaging like CT&MRCP aids in the detection of pancreatic ductal disruption. Management includes thoracocentesis and pancreatic duct drainage or pancreatic resection procedures. We present a case of massive right hydrothorax secondary to a PPF due to recurrent acute pancreatitis. Patient was successfully managed by ERCP guided sphincterotomy with removal of stone followed by stenting of pancreatic duct.
- N.A. Burgess, H.E. Moore, J.O. Williams, M.H. Lewis. A review of pancreatico-pleural fistula in pancreatitis and its management HPB Surg., Volume 5, Issue 2, 1991, pp. 79–86
- R. Materne, P. Vranckx, C. Pauls, E.E. Coche, P. Deprez, B.E. Van Beers Pancreaticopleural fistula: diagnosis with magnetic resonance pancreatography
- B.Y. Safadi, J.M. Marks Pancreatic pleural fistula: the role of ERCP in diagnosis and treatment Gastrointest. Endosc., Volume 51, 2000, pp. 213– 215
- J.C. King, H.A. Reber, S. Shiraga, O.J. Hines Pancreaticopleural fistula is best managed by early operative intervention Surgery, Volume 147, Issue 1, 2010, pp. 154–159
- V. Villena, V. Pérez, F. Pozo, A. López-Encuentra, V. Echave-Sustaeta, J. Arenas, P. Martı́n Escribano Amylase levels in pleural effusions: A consecutive unselected series of 841 patients. Chest, Volume 121, 2002, pp. 470–474
- A.R.J. Girbes, P.E. Postmus, W. Jansen, E.J. vd Jaqt, J.H. Kleibeuker. An alcoholic with pleural effusion Eur. Respir. J., Volume 3, 1990, pp. 934–936
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