Open AccessRare case of bilateral pleural effusion caused by pancreaticopleural fistula
Author(s) -
Ivana Kull,
Oriane Sottas,
Hervé Zender,
Galab M Hassan
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234286
Subject(s) - medicine , pleural effusion , endoscopic retrograde cholangiopancreatography , radiology , chest pain , pancreatitis , pancreatic duct , fistula , surgery , pancreatic fistula , pancreas
A 51-year-old man presented with dyspnoea and basithoracic pain. Chest X-ray revealed bilateral pleural effusion, which was managed by bilateral chest drain placement. The pleural fluid analysis showed elevated lipase. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a large fistula from the tail of the main pancreatic duct to the left pleural space. Definitive treatment was accomplished with ERCP guided large pancreatic stents placement.