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Black pleural effusion due to pancreatic pseudocyst: A case report

RATIONALE: Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst. PATIENT CONCERNS: We herein repo...

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Autores principales: Guo, Feng, Wu, Junli, Peng, Yunpeng, Tu, Min, Xiao, Bin, Dai, Cuncai, Jiang, Kuirong, Gao, Wentao, Li, Qiang, Wei, Jishu, Chen, Jianmin, Xi, Chunhua, Lu, Zipeng, Miao, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815711/
https://www.ncbi.nlm.nih.gov/pubmed/29390299
http://dx.doi.org/10.1097/MD.0000000000009043
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author Guo, Feng
Wu, Junli
Peng, Yunpeng
Tu, Min
Xiao, Bin
Dai, Cuncai
Jiang, Kuirong
Gao, Wentao
Li, Qiang
Wei, Jishu
Chen, Jianmin
Xi, Chunhua
Lu, Zipeng
Miao, Yi
author_facet Guo, Feng
Wu, Junli
Peng, Yunpeng
Tu, Min
Xiao, Bin
Dai, Cuncai
Jiang, Kuirong
Gao, Wentao
Li, Qiang
Wei, Jishu
Chen, Jianmin
Xi, Chunhua
Lu, Zipeng
Miao, Yi
author_sort Guo, Feng
collection PubMed
description RATIONALE: Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst. PATIENT CONCERNS: We herein reported a case of a 14-year-old female patient who was admitted to our center with a history of cough for 1 and a half months and right chest pain for 1 month. Before this, she was consecutively hospitalized in 3 different hospitals due to the same symptoms. However, the previous treatments were ineffective due to the lack of a definitive diagnosis. Laboratory examination of the pleural effusion showed BPE with a high amylase concentration. Chest x-ray and computed tomography (CT) showed massive pleural effusion, more prominent in the right chest. CT and MRCP of the abdomen showed a cystic lesion located in the tail of the pancreas, which entered the chest cavity via an esophageal hiatal hernia. DIAGNOSES: pancreatic pseudocyst. INTERVENTIONS: After confirming that the tumor was a pancreatic pseudocyst by intraoperative biopsy, internal drainage to the jejunum was performed. OUTCOMES: The postoperative recovery was rapid and without complications, and the final discharge diagnosis was idiopathic pancreatic pseudocyst (without history of pancreatitis or pancreatic injuries) with BPE of the right chest. LESSONS: This case demonstrates that massive BPE could present as a rare complication of pancreatic pseudocyst, and surgery is a potential treatment for such patients.
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spelling pubmed-58157112018-02-28 Black pleural effusion due to pancreatic pseudocyst: A case report Guo, Feng Wu, Junli Peng, Yunpeng Tu, Min Xiao, Bin Dai, Cuncai Jiang, Kuirong Gao, Wentao Li, Qiang Wei, Jishu Chen, Jianmin Xi, Chunhua Lu, Zipeng Miao, Yi Medicine (Baltimore) 4500 RATIONALE: Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst. PATIENT CONCERNS: We herein reported a case of a 14-year-old female patient who was admitted to our center with a history of cough for 1 and a half months and right chest pain for 1 month. Before this, she was consecutively hospitalized in 3 different hospitals due to the same symptoms. However, the previous treatments were ineffective due to the lack of a definitive diagnosis. Laboratory examination of the pleural effusion showed BPE with a high amylase concentration. Chest x-ray and computed tomography (CT) showed massive pleural effusion, more prominent in the right chest. CT and MRCP of the abdomen showed a cystic lesion located in the tail of the pancreas, which entered the chest cavity via an esophageal hiatal hernia. DIAGNOSES: pancreatic pseudocyst. INTERVENTIONS: After confirming that the tumor was a pancreatic pseudocyst by intraoperative biopsy, internal drainage to the jejunum was performed. OUTCOMES: The postoperative recovery was rapid and without complications, and the final discharge diagnosis was idiopathic pancreatic pseudocyst (without history of pancreatitis or pancreatic injuries) with BPE of the right chest. LESSONS: This case demonstrates that massive BPE could present as a rare complication of pancreatic pseudocyst, and surgery is a potential treatment for such patients. Wolters Kluwer Health 2017-12-15 /pmc/articles/PMC5815711/ /pubmed/29390299 http://dx.doi.org/10.1097/MD.0000000000009043 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 4500
Guo, Feng
Wu, Junli
Peng, Yunpeng
Tu, Min
Xiao, Bin
Dai, Cuncai
Jiang, Kuirong
Gao, Wentao
Li, Qiang
Wei, Jishu
Chen, Jianmin
Xi, Chunhua
Lu, Zipeng
Miao, Yi
Black pleural effusion due to pancreatic pseudocyst: A case report
title Black pleural effusion due to pancreatic pseudocyst: A case report
title_full Black pleural effusion due to pancreatic pseudocyst: A case report
title_fullStr Black pleural effusion due to pancreatic pseudocyst: A case report
title_full_unstemmed Black pleural effusion due to pancreatic pseudocyst: A case report
title_short Black pleural effusion due to pancreatic pseudocyst: A case report
title_sort black pleural effusion due to pancreatic pseudocyst: a case report
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815711/
https://www.ncbi.nlm.nih.gov/pubmed/29390299
http://dx.doi.org/10.1097/MD.0000000000009043
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