Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report

Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis, which can present as massive pleural effusion. We herein report a six-year-old male, a follow-up case of acute pancreatitis, who later presented with bilateral pleural effusion due to PPF. Initially, tuberculosis was suspected...

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Main Authors: Neel Madhav Mishra, Sushil Kumar, Vivek Dewan, Vinay Kumar Mishra, Nitin Mohan, Aman Lamba
Format: Article
Language:English
Published: Galenos Publishing House 2025-06-01
Series:The Journal of Pediatric Academy
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Online Access:https://jpediatricacademy.com/index.php/jpa/article/view/386
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author Neel Madhav Mishra
Sushil Kumar
Vivek Dewan
Vinay Kumar Mishra
Nitin Mohan
Aman Lamba
author_facet Neel Madhav Mishra
Sushil Kumar
Vivek Dewan
Vinay Kumar Mishra
Nitin Mohan
Aman Lamba
author_sort Neel Madhav Mishra
collection DOAJ
description Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis, which can present as massive pleural effusion. We herein report a six-year-old male, a follow-up case of acute pancreatitis, who later presented with bilateral pleural effusion due to PPF. Initially, tuberculosis was suspected as the cause of pleural effusion due to the patient’s maternal history of contact with tuberculosis and chronic history and chronic history. However, further investigations revealed a diagnosis of PPF. Management and outcome: He was managed conservatively for a prolonged period, following which there was a complete resolution of pleural effusion. This pediatric case highlights a rare complication of acute pancreatitis and the role of early initiation of management in these patients, thereby resulting in good outcomes even in a resource-limited setting.
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id doaj-art-5ea8d705303c4da3934152b2b8cd1cd0
institution Kabale University
issn 2718-0875
language English
publishDate 2025-06-01
publisher Galenos Publishing House
record_format Article
series The Journal of Pediatric Academy
spelling doaj-art-5ea8d705303c4da3934152b2b8cd1cd02025-08-20T03:51:13ZengGalenos Publishing HouseThe Journal of Pediatric Academy2718-08752025-06-0162818510.4274/jpea.2025.386343Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case ReportNeel Madhav Mishra0https://orcid.org/0009-0002-6357-563XSushil Kumar1https://orcid.org/0009-0006-6445-5284Vivek Dewan2https://orcid.org/0009-0003-0350-0641Vinay Kumar Mishra3https://orcid.org/0009-0004-6479-7423Nitin Mohan4https://orcid.org/0000-0003-4176-3111Aman Lamba5https://orcid.org/0009-0003-7368-3439Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Department of Pediatrics, New Delhi, IndiaPost Graduate Institue of Child Health, Department of Pediatric Gastroenterology, Noida, IndiaAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Division of Pediatric Gastroenterology, Department of Pediatrics, New Delhi, IndiaAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Division of Pediatric Gastroenterology, Department of Pediatrics, New Delhi, IndiaAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Division of Pediatric Gastroenterology, Department of Pediatrics, New Delhi, IndiaAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Department of Pediatrics, New Delhi, IndiaPancreaticopleural fistula (PPF) is a rare complication of pancreatitis, which can present as massive pleural effusion. We herein report a six-year-old male, a follow-up case of acute pancreatitis, who later presented with bilateral pleural effusion due to PPF. Initially, tuberculosis was suspected as the cause of pleural effusion due to the patient’s maternal history of contact with tuberculosis and chronic history and chronic history. However, further investigations revealed a diagnosis of PPF. Management and outcome: He was managed conservatively for a prolonged period, following which there was a complete resolution of pleural effusion. This pediatric case highlights a rare complication of acute pancreatitis and the role of early initiation of management in these patients, thereby resulting in good outcomes even in a resource-limited setting.https://jpediatricacademy.com/index.php/jpa/article/view/386pancreaticopleural fistulahigh pleural fluid amylaseoctreotide
spellingShingle Neel Madhav Mishra
Sushil Kumar
Vivek Dewan
Vinay Kumar Mishra
Nitin Mohan
Aman Lamba
Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
The Journal of Pediatric Academy
pancreaticopleural fistula
high pleural fluid amylase
octreotide
title Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
title_full Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
title_fullStr Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
title_full_unstemmed Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
title_short Pancreaticopleural Fistula: A Rare Complication of Pancreatitis in Children - A Case Report
title_sort pancreaticopleural fistula a rare complication of pancreatitis in children a case report
topic pancreaticopleural fistula
high pleural fluid amylase
octreotide
url https://jpediatricacademy.com/index.php/jpa/article/view/386
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