Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
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, particularly magnetic resonance cholangiopancreatography, aids in the detec...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/8294056 |
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| author | Esther Ern-Hwei Chan Vishalkumar Girishchandra Shelat |
| author_facet | Esther Ern-Hwei Chan Vishalkumar Girishchandra Shelat |
| author_sort | Esther Ern-Hwei Chan |
| collection | DOAJ |
| description | 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, particularly magnetic resonance cholangiopancreatography, 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. Due to respiratory failure, urgent thoracocentesis was done. Distal pancreatectomy with splenectomy and cholecystectomy was performed. The patient remains well at one-year follow-up. |
| format | Article |
| id | doaj-art-5b664df8401545329dc9c19a3b3b3b5c |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-5b664df8401545329dc9c19a3b3b3b5c2025-02-03T06:44:42ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/82940568294056Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory FailureEsther Ern-Hwei Chan0Vishalkumar Girishchandra Shelat1Department of General Surgery, Tan Tock Seng Hospital, SingaporeDepartment of General Surgery, Tan Tock Seng Hospital, SingaporeHydrothorax 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, particularly magnetic resonance cholangiopancreatography, 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. Due to respiratory failure, urgent thoracocentesis was done. Distal pancreatectomy with splenectomy and cholecystectomy was performed. The patient remains well at one-year follow-up.http://dx.doi.org/10.1155/2016/8294056 |
| spellingShingle | Esther Ern-Hwei Chan Vishalkumar Girishchandra Shelat Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure Case Reports in Surgery |
| title | Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure |
| title_full | Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure |
| title_fullStr | Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure |
| title_full_unstemmed | Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure |
| title_short | Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure |
| title_sort | pancreaticopleural fistula causing massive right hydrothorax and respiratory failure |
| url | http://dx.doi.org/10.1155/2016/8294056 |
| work_keys_str_mv | AT estherernhweichan pancreaticopleuralfistulacausingmassiverighthydrothoraxandrespiratoryfailure AT vishalkumargirishchandrashelat pancreaticopleuralfistulacausingmassiverighthydrothoraxandrespiratoryfailure |