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- Abhinav K Rao, Levi Diggins, Brett Van-Leer Greenberg, James Ravenel, and Don C Rockey.
- Division of Internal Medicine, Trident Medical Center, North Charleston, South Carolina, USA; Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: abhinav.rao@hcahealthcare.com.
- Am. J. Med. Sci. 2024 Nov 28.
AbstractA pancreatic fistula is defined as the leakage of pancreatic fluid into another organ or compartment because of pancreatic duct disruption or pseudocyst formation. It is most often seen in middle-aged men between 40 and 50, particularly in patients who have a history of chronic alcoholism and pancreatitis. The tract may fistulae into the pleura, creating a pancreaticopleural fistula, an exceedingly rare condition presenting as a recurrent pleural effusion and extremely high amylase levels, a key distinguishing factor in diagnosis. Here, we present such a case of a recurrent pancreaticopleural fistula and review the presentation, pathophysiology, diagnosis and treatment.Copyright © 2024. Published by Elsevier Inc.
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