What is it about?
Pancreatitis can rarely result in pancreatico-pleural fistula. A case of left-sided pleural effusion is how it can present with. A few different causes of left-sided effusion exist, including pancreatitis, extrapulmonary tuberculosis, cancer, trauma, and syn-pneumonic effusion. Diagnosis can be suspected with levels of Amylase in the pleural fluid.
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Why is it important?
It can be confirmed with radiographic imaging like MRCP and CECT chest and Abdomen where we can expect a diaphragmatic rent to confirm the diagnosis. Here we will present a case of pancreatic-pleural fistula in a patient with sequelae of acute pancreatitis. This report highlights an important and often overlooked complication of pancreatitis, knowing such complications can help to make an early diagnosis and improve the quality of life of the patient.
Perspectives
A rare diagnosis known as pancreatico-pleural fistula (PPF) affects about 0.4% of patients with pancreatitis [1]. A distinct collection that forms around the pancreas due to pancreatitis may communicate with the pleural space above, draining the collection into that space. Instead of pancreatitis symptoms, the patient typically presents with pulmonary symptoms, which might delay the diagnosis [1]. Following diagnosis, the fistula between the collection and pleural space is typically closed.
Acquire Publications
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This page is a summary of: Pancreaticopleural Fistula: A Rare Occurrence in Pancreatitis, Journal of Case Reports and Medical History, January 2025, Acquire Publications LLC,
DOI: 10.54289/jcrmh2500103.
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