Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion

Bibliographic Details
Title: Pancreaticopleural fistula: a rare cause of recurrent right-sided pleural effusion
Authors: Mithun Nilgiri K., Varsha P. Rangankar, Shaily K. P., Tushar R. Sahasrabudhe, Rishi Govind Orakkan
Source: The Egyptian Journal of Bronchology, Vol 19, Iss 1, Pp 1-7 (2025)
Publisher Information: SpringerOpen, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the respiratory system
LCC:Medical emergencies. Critical care. Intensive care. First aid
Subject Terms: Pleural effusion, Pancreaticopleural fistula, Necrotizing pancreatitis, MRCP, ERCP, Diseases of the respiratory system, RC705-779, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
More Details: Abstract Background Pancreaticopleural fistula (PPF) is an uncommon and dangerous complication of pancreatic disease and can lead to significant morbidity due to the presence of pleural effusion usually on the left side. PPF is an abnormal communication between the pancreatic duct and the pleural cavity, which occurs in patients with chronic pancreatitis or pancreatic pseudocysts. Case presentation This case report chronicles an unusual presentation of PPF in a male in his 60 s, highlighting the diagnostic challenges and the critical need for early recognition and appropriate management. The diagnosis was confirmed through a comprehensive diagnostic workup, including imaging studies and pleural fluid analysis. The patient was successfully managed with a combination of chest tube drainage, Octreotide therapy, and endoscopic intervention. Conclusion Pancreaticopleural fistula (PPF) should be considered a possible diagnosis in patients who present with an unexplained recurrent pleural effusion and have a history of pancreatic illness.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2314-8551
Relation: https://doaj.org/toc/2314-8551
DOI: 10.1186/s43168-025-00367-5
Access URL: https://doaj.org/article/7973febc0f5745ceb46f6d115c6eb52a
Accession Number: edsdoj.7973febc0f5745ceb46f6d115c6eb52a
Database: Directory of Open Access Journals
More Details
ISSN:23148551
DOI:10.1186/s43168-025-00367-5
Published in:The Egyptian Journal of Bronchology
Language:English