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Pleural effusion in pancreatitis with pancreatico-pleural fistula: report of a case.

Authors
  • Lan, R S
  • Shieh, W B
  • Lee, C H
Type
Published Article
Journal
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association
Publication Date
May 01, 1989
Volume
88
Issue
5
Pages
520–522
Identifiers
PMID: 2794954
Source
Medline
License
Unknown

Abstract

Pancreatic pleural effusion due to an internal fistula is an uncommon and often unrecognized clinical syndrome which complicates chronic pancreatitis. It frequently presents with chest and respiratory symptoms of pleural effusion with little abdominal complaints, and history of previous pancreatic disease is often absent, making the diagnosis easily missed. A case of pancreatic pleural effusion due to an internal fistula is presented. To the best of our knowledge, this is the only case report in English journals on a pancreatico-pleural fistula resulting in pleural effusion that was not massive and the effusion amylase level was below 1,000 IU/L while being diagnosed. The potential of computed tomography in the diagnosis of this disease is illustrated.

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