Cargando…
Pancreaticopleural fistula: An insidious cause of pleural effusion –case report
Pancreaticopleural fistulas (PPF) are a rare etiology of pleural effusions. We describe a case of a 61-year-old man, with left chest pain with six months of progression who presented with a large volume unilateral pleural effusion. A thoracentesis was performed, which showed a dark reddish fluid(exu...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106946/ https://www.ncbi.nlm.nih.gov/pubmed/35620754 http://dx.doi.org/10.34172/jcvtr.2021.37 |
_version_ | 1784708381434445824 |
---|---|
author | Murteira, Fábio Costa, Tiago Pinto, Sara Barbosa Francisco, Elsa Gomes, Ana Catarina |
author_facet | Murteira, Fábio Costa, Tiago Pinto, Sara Barbosa Francisco, Elsa Gomes, Ana Catarina |
author_sort | Murteira, Fábio |
collection | PubMed |
description | Pancreaticopleural fistulas (PPF) are a rare etiology of pleural effusions. We describe a case of a 61-year-old man, with left chest pain with six months of progression who presented with a large volume unilateral pleural effusion. A thoracentesis was performed, which showed a dark reddish fluid(exudate) and high content of pancreatic amylase. After that an abdominal computed tomography (CT)and magnetic resonance cholangiopancreatography (MRCP) was done, revealing fistulous pathways that originated in the pancreas. The patient was admitted for conservative and endoscopic treatment by Endoscopic Retrograde Cholangiopancreatography (ERCP) and a prosthesis was placed on a fistulous path. He was discharged without complications, with the resolution of the pleural effusion and fistula.The interest of this case lies in the rarity of the event and absence of symptoms of the probable primary event (acute pancreatitis). The possible iatrogenic association with several drugs of his usual medication makes it even more complex. |
format | Online Article Text |
id | pubmed-9106946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-91069462022-05-25 Pancreaticopleural fistula: An insidious cause of pleural effusion –case report Murteira, Fábio Costa, Tiago Pinto, Sara Barbosa Francisco, Elsa Gomes, Ana Catarina J Cardiovasc Thorac Res Case Report Pancreaticopleural fistulas (PPF) are a rare etiology of pleural effusions. We describe a case of a 61-year-old man, with left chest pain with six months of progression who presented with a large volume unilateral pleural effusion. A thoracentesis was performed, which showed a dark reddish fluid(exudate) and high content of pancreatic amylase. After that an abdominal computed tomography (CT)and magnetic resonance cholangiopancreatography (MRCP) was done, revealing fistulous pathways that originated in the pancreas. The patient was admitted for conservative and endoscopic treatment by Endoscopic Retrograde Cholangiopancreatography (ERCP) and a prosthesis was placed on a fistulous path. He was discharged without complications, with the resolution of the pleural effusion and fistula.The interest of this case lies in the rarity of the event and absence of symptoms of the probable primary event (acute pancreatitis). The possible iatrogenic association with several drugs of his usual medication makes it even more complex. Tabriz University of Medical Sciences 2022 2021-09-06 /pmc/articles/PMC9106946/ /pubmed/35620754 http://dx.doi.org/10.34172/jcvtr.2021.37 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Murteira, Fábio Costa, Tiago Pinto, Sara Barbosa Francisco, Elsa Gomes, Ana Catarina Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title | Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title_full | Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title_fullStr | Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title_full_unstemmed | Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title_short | Pancreaticopleural fistula: An insidious cause of pleural effusion –case report |
title_sort | pancreaticopleural fistula: an insidious cause of pleural effusion –case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106946/ https://www.ncbi.nlm.nih.gov/pubmed/35620754 http://dx.doi.org/10.34172/jcvtr.2021.37 |
work_keys_str_mv | AT murteirafabio pancreaticopleuralfistulaaninsidiouscauseofpleuraleffusioncasereport AT costatiago pancreaticopleuralfistulaaninsidiouscauseofpleuraleffusioncasereport AT pintosarabarbosa pancreaticopleuralfistulaaninsidiouscauseofpleuraleffusioncasereport AT franciscoelsa pancreaticopleuralfistulaaninsidiouscauseofpleuraleffusioncasereport AT gomesanacatarina pancreaticopleuralfistulaaninsidiouscauseofpleuraleffusioncasereport |