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BMJ Case Rep. 2016 Aug 24;2016. pii: bcr2016217175. doi: 10.1136/bcr-2016-217175.

Left pleural effusion caused by pancreaticopleural fistula with a pancreatic pseudocyst.

Author information

1
Department of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
2
Division of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
3
Showa University Koto Toyosu Hospital, Digestive Diseases Center, Tokyo, Japan.

Abstract

Pancreaticopleural fistula is an uncommon complication of chronic pancreatitis. The authors described a case of a man with medical history of alcohol-related chronic pancreatitis, presented with dyspnoea. The roentgenogram showed a massive left pleural effusion. Additional work-up revealed a pancreaticopleural fistula and amylase-rich pleural effusion. His respiratory state improved after the insertion of chest drainage tube. During his admission, conservative and endoscopic therapy was required for the treatment of his complication of mediastinal abscess and arterial aneurysm in the pancreatic pseudocyst.

PMID:
27558195
PMCID:
PMC5015151
DOI:
10.1136/bcr-2016-217175
[Indexed for MEDLINE]
Free PMC Article

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