Pleural effusion and pancreatico-pleural fistula associated with asymptomatic pancreatic disease

S. M. Park, S. H. Lee, J. G. Lee, J. Y. Cho, J. J. Shim, K. H. In, K. H. Kang, S. H. Yoo

Research output: Contribution to journalArticle

Abstract

Effusions arising from acute pancreatitis are usually small, left sided and self limiting. The incidence of pleural effusions in acute pancreatitis is reported between 3% and 17%. In chronic pancreatitis, as a consequence of fistula and pancreatitic pseudocyst formation or by spontaneous rupture of a pancreatic pseudocyst directly into thoracic cavity, extremely large effusions may be seen. When the underlying pancreatic disease is asymptomatic, the diagnosis is made by measuring the amylase content of the pleural fluid. We experience a case of left sided pleural effusions caused by pancreatico-pleural fistula associated with pancreatic pseudocyst. The diagnosis was made by measuring of pleural fluid amylase level (80000 U/L). Abdominal CT scan revealed pancreatic pseudocyst and pancreatitis with extension to left pleural space through esophageal hiatus and extension to left subdiaphragmatic space. Left pleural effusions were decreased after fasting, total parenteral nutrition and percutancous pleural fluid catheter drainage. We reported a case of pleural effusions and pancreatico-pleural fistula associated with asymptomatic pancreatic disease with review of literature.

Original languageEnglish
Pages (from-to)226-230
Number of pages5
JournalTuberculosis and Respiratory Diseases
Volume42
Issue number2
DOIs
Publication statusPublished - 1995

Keywords

  • pancreatic pseudocyst
  • pancreatico-pleural fistula
  • pleural effusion

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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