Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation
Pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis. The most prevalent reasons for chest discomfort in this patient were pleural effusion, mediastinal or pleural pseudocyst. A 42-year-old man presented with left pleuritic chest pain and cough. A plain chest X-ray reve...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-10-01
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| Series: | Gazi Medical Journal |
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| Online Access: | https://gazimedj.com/articles/chronic-pancreatitis-with-unilateral-pleural-effusion-an-atypical-presentation/doi/gmj.2023.3821 |
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| _version_ | 1841526788328521728 |
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| author | Illani Binti Riza Yap Yoon Chin Lo Zhen Zhen |
| author_facet | Illani Binti Riza Yap Yoon Chin Lo Zhen Zhen |
| author_sort | Illani Binti Riza |
| collection | DOAJ |
| description | Pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis. The most prevalent reasons for chest discomfort in this patient were pleural effusion, mediastinal or pleural pseudocyst. A 42-year-old man presented with left pleuritic chest pain and cough. A plain chest X-ray revealed two large suspicious opacities in the left lung. A contrast-enhanced computed tomography thorax and pancreas shows left pleural effusion and features suggestive of chronic pancreatitis. There was peripancreatic collection and pancreatic duct dilatation which communicated with the left pleura, causing left pleural effusion. Pleural fluid samples showed high pleural fluid amylase and albumin. Endoscopic retrograde cholangiopancreatography (ERCP) was done and the pancreatic duct was stented. Repeated ERCP a month later showed no leakage after stent insertion. |
| format | Article |
| id | doaj-art-348c662f1a9e470896d9f60f0ea266ee |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-348c662f1a9e470896d9f60f0ea266ee2025-01-16T11:12:37ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-10-0135444244410.12996/gmj.2023.3821Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical PresentationIllani Binti Riza0https://orcid.org/0000-0001-9716-8229Yap Yoon Chin1https://orcid.org/0000-0002-4419-8413Lo Zhen Zhen2https://orcid.org/0000-0001-7960-1412Jabatan Kecemasan dan Trauma, Hospital Queen Elizabeth, Kota Kinabalu, MalaysiaJabatan Kecemasan dan Trauma, Hospital Queen Elizabeth, Kota Kinabalu, MalaysiaDepartment of Emergency Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, Kota Kinabalu, Sabah, MalaysiaPancreaticopleural fistula is a rare complication of acute or chronic pancreatitis. The most prevalent reasons for chest discomfort in this patient were pleural effusion, mediastinal or pleural pseudocyst. A 42-year-old man presented with left pleuritic chest pain and cough. A plain chest X-ray revealed two large suspicious opacities in the left lung. A contrast-enhanced computed tomography thorax and pancreas shows left pleural effusion and features suggestive of chronic pancreatitis. There was peripancreatic collection and pancreatic duct dilatation which communicated with the left pleura, causing left pleural effusion. Pleural fluid samples showed high pleural fluid amylase and albumin. Endoscopic retrograde cholangiopancreatography (ERCP) was done and the pancreatic duct was stented. Repeated ERCP a month later showed no leakage after stent insertion.https://gazimedj.com/articles/chronic-pancreatitis-with-unilateral-pleural-effusion-an-atypical-presentation/doi/gmj.2023.3821pancreaticopleural fistulapleural effusionchronic pancreatitis |
| spellingShingle | Illani Binti Riza Yap Yoon Chin Lo Zhen Zhen Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation Gazi Medical Journal pancreaticopleural fistula pleural effusion chronic pancreatitis |
| title | Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation |
| title_full | Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation |
| title_fullStr | Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation |
| title_full_unstemmed | Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation |
| title_short | Chronic Pancreatitis with Unilateral Pleural Effusion: An Atypical Presentation |
| title_sort | chronic pancreatitis with unilateral pleural effusion an atypical presentation |
| topic | pancreaticopleural fistula pleural effusion chronic pancreatitis |
| url | https://gazimedj.com/articles/chronic-pancreatitis-with-unilateral-pleural-effusion-an-atypical-presentation/doi/gmj.2023.3821 |
| work_keys_str_mv | AT illanibintiriza chronicpancreatitiswithunilateralpleuraleffusionanatypicalpresentation AT yapyoonchin chronicpancreatitiswithunilateralpleuraleffusionanatypicalpresentation AT lozhenzhen chronicpancreatitiswithunilateralpleuraleffusionanatypicalpresentation |