Open AccessEndoscopic management of pleural effusion caused by a pancreatic pleural fistula
Author(s) -
Shridhar Vasantrao Sasturkar,
Subhash Gupta,
Shalini Thapar,
Saggere Muralikrishna Shasthry
Publication year - 2020
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/jpgm.jpgm_720_20
Subject(s) - medicine , pancreatitis , pleural effusion , pancreatic duct , sequela , fistula , acute pancreatitis , presentation (obstetrics) , pancreatic fistula , surgery , pleural cavity , radiology , general surgery , pancreas
Pancreatic-pleural fistula (PPF) is a rare sequela of pancreatitis. High degree of clinical suspicion is required to diagnose a PPF. Confirmation is done by high amylase content in pleural fluid analysis. Here, we present two cases with varied presentation of PPF. A 43-year-old man presented with acute on chronic pancreatitis with bilateral (predominantly right) pleural effusion. Another 57-year-old man, previously diagnosed with chronic calcific pancreatitis, presented with left pleural effusion. Both cases were effectively managed with endoscopic pancreatic duct stenting.