27Dec 2017

CHRONIC PANCREATITIS RARE COMPLICATION, PANCREATIC-PLEURAL FISTULA &PLEURAL PSEUDOCYST: A CASE REPORT.

  • Medical Intern, Umm Al-Qura University, Makkah, Saudi Arabia.
  • Radiology Resident, the Saudi Board of Radiology, Makkah, Saudi Arabia.
  • Radiologist, Al-Noor Specialist Hospital, Makkah, Saudi Arabia.
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Background: A pancreatic-pleural fistula is a complication of a pancreatic pseudocyst due to cranial extension of an erosive tract that forms a communication between the pseudocyst and the pleural cavity with subsequent pleural effusion. Case presentation: A 16-year-old boy presented with a history of shortness of breath and cough over 3 months, with diffuse abdominal pain radiating to his back. A chest X- ray showed massive left-sided pleural effusion without any mediastinal shift. Computed tomography of the chest and abdomen showed a pancreatic-pleural fistula. This diagnosis was confirmed after thoracentesis performed for pleural fluid sampling showed an amylase level of 28,459 IU/L (reference range 30?100 IU/L). He was treated medically and an endoscopic retrograde cholangiopancreatography was performed. Conclusion: A pancreatic-pleural fistula is a rare complication of chronic pancreatitis, and endoscopic surgery is a useful treatment option in those who fail medical treatment, fluid drainage, and/or fistula stent.

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[Amal Salem, Ahmed Azhari, Amjad Banjar and Maher Ghazzawy. (2017); CHRONIC PANCREATITIS RARE COMPLICATION, PANCREATIC-PLEURAL FISTULA &PLEURAL PSEUDOCYST: A CASE REPORT. Int. J. of Adv. Res. 5 (Dec). 1561-1566] (ISSN 2320-5407). www.journalijar.com

Amal Abdulaziz Salem
Medical intern, Umm Al-Qura university, Makkah, Saudi Arabia .

DOI:

Article DOI: 10.21474/IJAR01/6119      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6119

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