The Indian Practitioner

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

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


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

   Subscribe/Renew Journal


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.
Subscription Login to verify subscription
User
Notifications
Font Size


  • 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


Abstract Views: 342

PDF Views: 3




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

Abstract Views: 342  |  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