• J Postgrad Med · Oct 2020

    Case Reports

    Endoscopic management of pleural effusion caused by a pancreatic pleural fistula.

    • S V Sasturkar, S Gupta, S Thapar, and S M Shasthry.
    • Department of HPB Surgery, Institute of Liver and Biliary Sciences, New Delhi, India.
    • J Postgrad Med. 2020 Oct 1; 66 (4): 206-208.

    AbstractPancreatic-pleural fistula (PPF) is a rare sequela of pancreatitis. High degree of clinical suspicion is required to diagnose a PPF. Confirmation is done by high amylase content in pleural fluid analysis. Here, we present two cases with varied presentation of PPF. A 43-year-old man presented with acute on chronic pancreatitis with bilateral (predominantly right) pleural effusion. Another 57-year-old man, previously diagnosed with chronic calcific pancreatitis, presented with left pleural effusion. Both cases were effectively managed with endoscopic pancreatic duct stenting.

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