Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum

Pancreaticopleural fistula is an extremely rare complication of chronic pancreatitis. Interestingly it may present without any symptoms of pancreatitis per se. The diagnosis requires a high index of suspicion due to the predominant thoracic symptoms. Cases with massive, rapidly refilling, refractory...

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Main Authors: Dhaval Choksi, Vikas Pandey, Prateik Poddar, Alisha Chaubal, Meghraj Ingle, Prabha Sawant
Format: Article
Language:English
Published: MDPI AG 2017-11-01
Series:Gastroenterology Insights
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/gi/article/view/6974
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author Dhaval Choksi
Vikas Pandey
Prateik Poddar
Alisha Chaubal
Meghraj Ingle
Prabha Sawant
author_facet Dhaval Choksi
Vikas Pandey
Prateik Poddar
Alisha Chaubal
Meghraj Ingle
Prabha Sawant
author_sort Dhaval Choksi
collection DOAJ
description Pancreaticopleural fistula is an extremely rare complication of chronic pancreatitis. Interestingly it may present without any symptoms of pancreatitis per se. The diagnosis requires a high index of suspicion due to the predominant thoracic symptoms. Cases with massive, rapidly refilling, refractory pleural effusion in the setting of pancreatitis (symptomatic or asymptomatic) should be suspected of having a pancreaticopleural fistula. We report two cases of pancreaticopleural fistula. One of the patient also had pancreatic divisum and to the best of our knowledge this is the first case report of pancreatic divisum with pancreaticopleural fistula in the literature.
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spelling doaj.art-97f66379c3ef4cc3ad09db7ae6bad1bb2022-12-22T03:38:01ZengMDPI AGGastroenterology Insights2036-74142036-74222017-11-018110.4081/gi.2017.69743836Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisumDhaval Choksi0Vikas Pandey1Prateik Poddar2Alisha Chaubal3Meghraj Ingle4Prabha Sawant5Department of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiDepartment of Gastroenterology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, MumbaiPancreaticopleural fistula is an extremely rare complication of chronic pancreatitis. Interestingly it may present without any symptoms of pancreatitis per se. The diagnosis requires a high index of suspicion due to the predominant thoracic symptoms. Cases with massive, rapidly refilling, refractory pleural effusion in the setting of pancreatitis (symptomatic or asymptomatic) should be suspected of having a pancreaticopleural fistula. We report two cases of pancreaticopleural fistula. One of the patient also had pancreatic divisum and to the best of our knowledge this is the first case report of pancreatic divisum with pancreaticopleural fistula in the literature.http://www.pagepress.org/journals/index.php/gi/article/view/6974chronic pancreatitis, pancreas, pancreatic divisum, pancreaticopleural fistula, pleural effusion.
spellingShingle Dhaval Choksi
Vikas Pandey
Prateik Poddar
Alisha Chaubal
Meghraj Ingle
Prabha Sawant
Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
Gastroenterology Insights
chronic pancreatitis, pancreas, pancreatic divisum, pancreaticopleural fistula, pleural effusion.
title Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
title_full Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
title_fullStr Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
title_full_unstemmed Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
title_short Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
title_sort interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum
topic chronic pancreatitis, pancreas, pancreatic divisum, pancreaticopleural fistula, pleural effusion.
url http://www.pagepress.org/journals/index.php/gi/article/view/6974
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