Open AccessPancreatico-pleural fistula: A rare cause of massive right-sided pleural effusion
Author(s) -
Adel Salah Bediwy
Publication year - 2015
Publication title -
egyptian journal of chest diseases and tuberculosis/egyptian journal of chest diseases and tuberculosis
Language(s) - English
Resource type - Journals
eISSN - 2090-9950
pISSN - 0422-7638
DOI - 10.1016/j.ejcdt.2014.08.004
Subject(s) - medicine , pleural effusion , fistula , radiology , thoracic duct , surgery , effusion , chest pain , pleural cavity , pathology , lymphatic system
Pancreatico-pleural fistula is a rare entity and it accounts for a small percentage of cases of pleural effusion. We present a case of massive right sided pleural effusion that was attributable to pancreatico-pleural fistula in a 46year old male alcoholic patient who had dyspnea, trepopnea and dull aching right sided chest pain. ERCP showed a fistulous track between the main pancreatic duct and right hemithorax. This case is very rare as the pleural effusion due to pancreatico-pleural fistula is usually left-sided in up to two thirds of cases