The Indian Practitioner

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Young Patient with Right Sided Pleuro-Pancreatic Fistula-An Unusual Presentation


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1 Dept. of Medicine, Seth G S Medical College & KEM Hospital, Mumbai, India
     

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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.
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  • Young Patient with Right Sided Pleuro-Pancreatic Fistula-An Unusual Presentation

Abstract Views: 340  |  PDF Views: 3

Authors

N. Sarate
Dept. of Medicine, Seth G S Medical College & KEM Hospital, Mumbai, India
A. Rajadhyaksha
Dept. of Medicine, Seth G S Medical College & KEM Hospital, Mumbai, India
P. Khairmode
Dept. of Medicine, Seth G S Medical College & KEM Hospital, Mumbai, India

Abstract


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.

References