Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis
Pleural effusions due to pancreatitis are more common on the left side, but right-sided pleural effusion is very rare. This case report describes a young male who presented with features of right-sided massive pleural effusion. Magnetic resonance cholangiopancreatography showed, chronic pancreatitis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2018-01-01
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| Series: | Indian Journal of Respiratory Care |
| Subjects: | |
| Online Access: | http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=2;spage=102;epage=104;aulast=Tamilarasan |
| _version_ | 1797697887997526016 |
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| author | V Tamilarasan Syed Zulkharhain Tousheed Karthik Gadabanahalli H K Nandish Vellaichamy M Annapandian |
| author_facet | V Tamilarasan Syed Zulkharhain Tousheed Karthik Gadabanahalli H K Nandish Vellaichamy M Annapandian |
| author_sort | V Tamilarasan |
| collection | DOAJ |
| description | Pleural effusions due to pancreatitis are more common on the left side, but right-sided pleural effusion is very rare. This case report describes a young male who presented with features of right-sided massive pleural effusion. Magnetic resonance cholangiopancreatography showed, chronic pancreatitis with pseudocyst extending into the mediastinum through esophageal hiatus and communicating with right pleural cavity (pancreaticopleural fistula). The patient improved clinically after placing an intercostal drainage tube and stenting of the main pancreatic duct. A clinician should consider pancreatic pathology also in the differential diagnosis of right-sided pleural effusion, even in the absence of abdominal symptoms and risk factors for pancreatitis, when initial evaluation is inconclusive. |
| first_indexed | 2024-03-12T03:46:27Z |
| format | Article |
| id | doaj.art-5f8b03b675cd4dd2bdbf621973e123ac |
| institution | Directory Open Access Journal |
| issn | 2277-9019 2321-4899 |
| language | English |
| last_indexed | 2024-03-12T03:46:27Z |
| publishDate | 2018-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Indian Journal of Respiratory Care |
| spelling | doaj.art-5f8b03b675cd4dd2bdbf621973e123ac2023-09-03T12:43:47ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992018-01-017210210410.4103/ijrc.ijrc_29_17Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitisV TamilarasanSyed Zulkharhain TousheedKarthik GadabanahalliH K NandishVellaichamy M AnnapandianPleural effusions due to pancreatitis are more common on the left side, but right-sided pleural effusion is very rare. This case report describes a young male who presented with features of right-sided massive pleural effusion. Magnetic resonance cholangiopancreatography showed, chronic pancreatitis with pseudocyst extending into the mediastinum through esophageal hiatus and communicating with right pleural cavity (pancreaticopleural fistula). The patient improved clinically after placing an intercostal drainage tube and stenting of the main pancreatic duct. A clinician should consider pancreatic pathology also in the differential diagnosis of right-sided pleural effusion, even in the absence of abdominal symptoms and risk factors for pancreatitis, when initial evaluation is inconclusive.http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=2;spage=102;epage=104;aulast=TamilarasanChronic pancreatitispancreaticopleural fistulapleural effusionpseudocyst |
| spellingShingle | V Tamilarasan Syed Zulkharhain Tousheed Karthik Gadabanahalli H K Nandish Vellaichamy M Annapandian Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis Indian Journal of Respiratory Care Chronic pancreatitis pancreaticopleural fistula pleural effusion pseudocyst |
| title | Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis |
| title_full | Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis |
| title_fullStr | Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis |
| title_full_unstemmed | Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis |
| title_short | Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis |
| title_sort | right sided pancreaticopleural fistula an unusual presentation of chronic pancreatitis |
| topic | Chronic pancreatitis pancreaticopleural fistula pleural effusion pseudocyst |
| url | http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=2;spage=102;epage=104;aulast=Tamilarasan |
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