Endoscopic management of pleural effusion caused by a pancreatic pleural fistula

SV Sasturkar, S Gupta, S Thapar, SM ShasthryJournal of Postgraduate Medicine 2020 66(4):206-208 Pancreatic-pleural fistula (PPF) is a rare sequela of pancreatitis. High degree of clinical suspicion is required to diagnose a PPF. Confirmation is done by high amylase content in pleural fluid analysis. Here, we present two cases with varied presentation of PPF. A 43-year-old man presented with acute on chronic pancreatitis with bilateral (predominantly right) pleural effusion. Another 57-year-old man, previously diagnosed with chronic calcific pancreatitis, presented with left pleural effusion. Both cases were effectively managed with endoscopic pancreatic duct stenting.
Source: Journal of Postgraduate Medicine - Category: Internal Medicine Authors: Source Type: research