Pancreatopleural fistula: A rare cause of recurrent pleural effusion
Pancreatopleural fistulas, rare complications of chronic pancreatitis, are often overlooked in the initial differential diagnoses of pleural effusions, resulting in delayed diagnosis and management. We present the case of an elderly male with recurrent pleural effusion and a history of chronic pancr...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Respiratory Medicine Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007124001862 |
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| author | Zehra Dhanani Stephen Dachert |
| author_facet | Zehra Dhanani Stephen Dachert |
| author_sort | Zehra Dhanani |
| collection | DOAJ |
| description | Pancreatopleural fistulas, rare complications of chronic pancreatitis, are often overlooked in the initial differential diagnoses of pleural effusions, resulting in delayed diagnosis and management. We present the case of an elderly male with recurrent pleural effusion and a history of chronic pancreatitis. Diagnostic challenges arose, with the initial misdiagnosis as pneumonia. Elevated pleural fluid amylase levels (11,370U/L) along with imaging findings led to the diagnosis of a pancreatopleural fistula. This case underscores the importance of considering uncommon etiologies in pleural effusions and highlights the significance of high pleural fluid amylase levels in diagnosing pancreatopleural fistulas. |
| format | Article |
| id | doaj-art-2518cd31d26f48458fa4f09913c6af7b |
| institution | Kabale University |
| issn | 2213-0071 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-2518cd31d26f48458fa4f09913c6af7b2025-02-09T05:00:21ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-0153102163Pancreatopleural fistula: A rare cause of recurrent pleural effusionZehra Dhanani0Stephen Dachert1Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA, United States; Corresponding author.Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United StatesPancreatopleural fistulas, rare complications of chronic pancreatitis, are often overlooked in the initial differential diagnoses of pleural effusions, resulting in delayed diagnosis and management. We present the case of an elderly male with recurrent pleural effusion and a history of chronic pancreatitis. Diagnostic challenges arose, with the initial misdiagnosis as pneumonia. Elevated pleural fluid amylase levels (11,370U/L) along with imaging findings led to the diagnosis of a pancreatopleural fistula. This case underscores the importance of considering uncommon etiologies in pleural effusions and highlights the significance of high pleural fluid amylase levels in diagnosing pancreatopleural fistulas.http://www.sciencedirect.com/science/article/pii/S2213007124001862Pleural diseasePancreatic pseudocyst |
| spellingShingle | Zehra Dhanani Stephen Dachert Pancreatopleural fistula: A rare cause of recurrent pleural effusion Respiratory Medicine Case Reports Pleural disease Pancreatic pseudocyst |
| title | Pancreatopleural fistula: A rare cause of recurrent pleural effusion |
| title_full | Pancreatopleural fistula: A rare cause of recurrent pleural effusion |
| title_fullStr | Pancreatopleural fistula: A rare cause of recurrent pleural effusion |
| title_full_unstemmed | Pancreatopleural fistula: A rare cause of recurrent pleural effusion |
| title_short | Pancreatopleural fistula: A rare cause of recurrent pleural effusion |
| title_sort | pancreatopleural fistula a rare cause of recurrent pleural effusion |
| topic | Pleural disease Pancreatic pseudocyst |
| url | http://www.sciencedirect.com/science/article/pii/S2213007124001862 |
| work_keys_str_mv | AT zehradhanani pancreatopleuralfistulaararecauseofrecurrentpleuraleffusion AT stephendachert pancreatopleuralfistulaararecauseofrecurrentpleuraleffusion |