Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion
Abstract Background Pancreaticopleural fistula (PPF) is an uncommon and dangerous complication of pancreatic disease and can lead to significant morbidity due to the presence of pleural effusion usually on the left side. PPF is an abnormal communication between the pancreatic duct and the pleural ca...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | The Egyptian Journal of Bronchology |
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| Online Access: | https://doi.org/10.1186/s43168-025-00367-5 |
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| author | Mithun Nilgiri K. Varsha P. Rangankar Shaily K. P. Tushar R. Sahasrabudhe Rishi Govind Orakkan |
| author_facet | Mithun Nilgiri K. Varsha P. Rangankar Shaily K. P. Tushar R. Sahasrabudhe Rishi Govind Orakkan |
| author_sort | Mithun Nilgiri K. |
| collection | DOAJ |
| description | Abstract Background Pancreaticopleural fistula (PPF) is an uncommon and dangerous complication of pancreatic disease and can lead to significant morbidity due to the presence of pleural effusion usually on the left side. PPF is an abnormal communication between the pancreatic duct and the pleural cavity, which occurs in patients with chronic pancreatitis or pancreatic pseudocysts. Case presentation This case report chronicles an unusual presentation of PPF in a male in his 60 s, highlighting the diagnostic challenges and the critical need for early recognition and appropriate management. The diagnosis was confirmed through a comprehensive diagnostic workup, including imaging studies and pleural fluid analysis. The patient was successfully managed with a combination of chest tube drainage, Octreotide therapy, and endoscopic intervention. Conclusion Pancreaticopleural fistula (PPF) should be considered a possible diagnosis in patients who present with an unexplained recurrent pleural effusion and have a history of pancreatic illness. |
| format | Article |
| id | doaj-art-7973febc0f5745ceb46f6d115c6eb52a |
| institution | Kabale University |
| issn | 2314-8551 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj-art-7973febc0f5745ceb46f6d115c6eb52a2025-02-09T12:16:19ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512025-02-011911710.1186/s43168-025-00367-5Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusionMithun Nilgiri K.0Varsha P. Rangankar1Shaily K. P.2Tushar R. Sahasrabudhe3Rishi Govind Orakkan4Department of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital & Research CentreDepartment of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research CenterDepartment of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital & Research CentreDepartment of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital & Research CentreDepartment of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital & Research CentreAbstract Background Pancreaticopleural fistula (PPF) is an uncommon and dangerous complication of pancreatic disease and can lead to significant morbidity due to the presence of pleural effusion usually on the left side. PPF is an abnormal communication between the pancreatic duct and the pleural cavity, which occurs in patients with chronic pancreatitis or pancreatic pseudocysts. Case presentation This case report chronicles an unusual presentation of PPF in a male in his 60 s, highlighting the diagnostic challenges and the critical need for early recognition and appropriate management. The diagnosis was confirmed through a comprehensive diagnostic workup, including imaging studies and pleural fluid analysis. The patient was successfully managed with a combination of chest tube drainage, Octreotide therapy, and endoscopic intervention. Conclusion Pancreaticopleural fistula (PPF) should be considered a possible diagnosis in patients who present with an unexplained recurrent pleural effusion and have a history of pancreatic illness.https://doi.org/10.1186/s43168-025-00367-5Pleural effusionPancreaticopleural fistulaNecrotizing pancreatitisMRCPERCP |
| spellingShingle | Mithun Nilgiri K. Varsha P. Rangankar Shaily K. P. Tushar R. Sahasrabudhe Rishi Govind Orakkan Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion The Egyptian Journal of Bronchology Pleural effusion Pancreaticopleural fistula Necrotizing pancreatitis MRCP ERCP |
| title | Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion |
| title_full | Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion |
| title_fullStr | Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion |
| title_full_unstemmed | Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion |
| title_short | Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion |
| title_sort | pancreaticopleural fistula a rare cause of recurrent right sided pleural effusion |
| topic | Pleural effusion Pancreaticopleural fistula Necrotizing pancreatitis MRCP ERCP |
| url | https://doi.org/10.1186/s43168-025-00367-5 |
| work_keys_str_mv | AT mithunnilgirik pancreaticopleuralfistulaararecauseofrecurrentrightsidedpleuraleffusion AT varshaprangankar pancreaticopleuralfistulaararecauseofrecurrentrightsidedpleuraleffusion AT shailykp pancreaticopleuralfistulaararecauseofrecurrentrightsidedpleuraleffusion AT tusharrsahasrabudhe pancreaticopleuralfistulaararecauseofrecurrentrightsidedpleuraleffusion AT rishigovindorakkan pancreaticopleuralfistulaararecauseofrecurrentrightsidedpleuraleffusion |