ACUTE ON CHRONIC PANCREATITIS PRESENTING WITH BILATERAL PLEURAL EFFUSION A CASE REPORT
Abstract
Pancreaticopleural fistula is a rare complication
of pancreatitis and presents with
pulmonary symptoms and signs. A highly
elevated amylase level in the pleural fluid
helps to diagnose a pancreatic pleural
effusion. Pancreatic effusions are more
common on the left side, but can present
on the right side as well. The fistulous
tract can be well delineated by endoscopic
retrograde cholangiopancreaticography.
It can be treated conservatively,
surgically or endoscopically by placing a
stent that effectively drains the pancreatic
secretions. Here we present one
such patient who presented with bilateral
pleural effusions of pancreatic origin.
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