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Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis
Chronic pancreatitis presents with epigastric abdominal pain, nausea, vomiting, and weight loss. Acute pancreatitis can also present with a pleural effusion which is typically left-sided, mild in nature, and self-limiting. However, recurrent bouts of pancreatitis may lead to a pancreaticopleural fis...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125050/ https://www.ncbi.nlm.nih.gov/pubmed/35593441 http://dx.doi.org/10.1177/23247096221099269 |
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author | Sandhu, Michael Bernshteyn, Michelle Banerjee, Sanchari Kuhn, Michael |
author_facet | Sandhu, Michael Bernshteyn, Michelle Banerjee, Sanchari Kuhn, Michael |
author_sort | Sandhu, Michael |
collection | PubMed |
description | Chronic pancreatitis presents with epigastric abdominal pain, nausea, vomiting, and weight loss. Acute pancreatitis can also present with a pleural effusion which is typically left-sided, mild in nature, and self-limiting. However, recurrent bouts of pancreatitis may lead to a pancreaticopleural fistula (PPF) with a large, rapidly recurring, unilateral pleural effusion. Among patients with PPF, the most common presenting complaint is dyspnea. We present the case of a 53-year-old man with recurrent bouts of pancreatitis in the setting of alcohol who presented with progressively worsening shortness of breath. A high-resolution computed topography scan of the thorax demonstrated a large right-sided pleural effusion. A thoracentesis was performed with pleural fluid studies showing an exudative effusion with amylase significantly elevated at 18 382 U/L. An endoscopic retrograde cholangiopancreatography was performed which showed a pancreatic duct leak in the tail of the pancreas. A pancreatic sphincterotomy was performed, and a stent was placed into the ventral pancreatic duct. The patient’s shortness of breath improved, and he was discharged home with outpatient follow-up. The aim of this report is to present the diagnosis of a rare complication of chronic pancreatitis and discuss the management and options for treatment. |
format | Online Article Text |
id | pubmed-9125050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-91250502022-05-24 Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis Sandhu, Michael Bernshteyn, Michelle Banerjee, Sanchari Kuhn, Michael J Investig Med High Impact Case Rep Case Report Chronic pancreatitis presents with epigastric abdominal pain, nausea, vomiting, and weight loss. Acute pancreatitis can also present with a pleural effusion which is typically left-sided, mild in nature, and self-limiting. However, recurrent bouts of pancreatitis may lead to a pancreaticopleural fistula (PPF) with a large, rapidly recurring, unilateral pleural effusion. Among patients with PPF, the most common presenting complaint is dyspnea. We present the case of a 53-year-old man with recurrent bouts of pancreatitis in the setting of alcohol who presented with progressively worsening shortness of breath. A high-resolution computed topography scan of the thorax demonstrated a large right-sided pleural effusion. A thoracentesis was performed with pleural fluid studies showing an exudative effusion with amylase significantly elevated at 18 382 U/L. An endoscopic retrograde cholangiopancreatography was performed which showed a pancreatic duct leak in the tail of the pancreas. A pancreatic sphincterotomy was performed, and a stent was placed into the ventral pancreatic duct. The patient’s shortness of breath improved, and he was discharged home with outpatient follow-up. The aim of this report is to present the diagnosis of a rare complication of chronic pancreatitis and discuss the management and options for treatment. SAGE Publications 2022-05-20 /pmc/articles/PMC9125050/ /pubmed/35593441 http://dx.doi.org/10.1177/23247096221099269 Text en © 2022 American Federation for Medical Research https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Sandhu, Michael Bernshteyn, Michelle Banerjee, Sanchari Kuhn, Michael Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title | Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title_full | Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title_fullStr | Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title_full_unstemmed | Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title_short | Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis |
title_sort | rapidly accumulating pleural effusion: a sequela of chronic pancreatitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125050/ https://www.ncbi.nlm.nih.gov/pubmed/35593441 http://dx.doi.org/10.1177/23247096221099269 |
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