Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure

Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure

Hydrothorax secondary to a pancreaticopleural fistula (PPF) is a rare complication of acute pancreatitis. In patients with a history of pancreatitis, diagnosis is made by detection of amylase in the pleural exudate. Imaging, particularly magnetic resonance cholangiopancreatography, aids in the detec...

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Main Authors: Esther Ern-Hwei Chan, Vishalkumar Girishchandra Shelat
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/8294056
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spelling doaj-5b664df8401545329dc9c19a3b3b3b5c2020-11-25T00:03:22ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/82940568294056Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory FailureEsther Ern-Hwei Chan0Vishalkumar Girishchandra Shelat1Department of General Surgery, Tan Tock Seng Hospital, SingaporeDepartment of General Surgery, Tan Tock Seng Hospital, SingaporeHydrothorax secondary to a pancreaticopleural fistula (PPF) is a rare complication of acute pancreatitis. In patients with a history of pancreatitis, diagnosis is made by detection of amylase in the pleural exudate. Imaging, particularly magnetic resonance cholangiopancreatography, aids in the detection of pancreatic ductal disruption. Management includes thoracocentesis and pancreatic duct drainage or pancreatic resection procedures. We present a case of massive right hydrothorax secondary to a PPF due to recurrent acute pancreatitis. Due to respiratory failure, urgent thoracocentesis was done. Distal pancreatectomy with splenectomy and cholecystectomy was performed. The patient remains well at one-year follow-up.http://dx.doi.org/10.1155/2016/8294056
collection DOAJ
language English
format Article
sources DOAJ
author Esther Ern-Hwei Chan
Vishalkumar Girishchandra Shelat
spellingShingle Esther Ern-Hwei Chan
Vishalkumar Girishchandra Shelat
Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
Case Reports in Surgery
author_facet Esther Ern-Hwei Chan
Vishalkumar Girishchandra Shelat
author_sort Esther Ern-Hwei Chan
title Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
title_short Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
title_full Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
title_fullStr Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
title_full_unstemmed Pancreaticopleural Fistula Causing Massive Right Hydrothorax and Respiratory Failure
title_sort pancreaticopleural fistula causing massive right hydrothorax and respiratory failure
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2016-01-01
description Hydrothorax secondary to a pancreaticopleural fistula (PPF) is a rare complication of acute pancreatitis. In patients with a history of pancreatitis, diagnosis is made by detection of amylase in the pleural exudate. Imaging, particularly magnetic resonance cholangiopancreatography, aids in the detection of pancreatic ductal disruption. Management includes thoracocentesis and pancreatic duct drainage or pancreatic resection procedures. We present a case of massive right hydrothorax secondary to a PPF due to recurrent acute pancreatitis. Due to respiratory failure, urgent thoracocentesis was done. Distal pancreatectomy with splenectomy and cholecystectomy was performed. The patient remains well at one-year follow-up.
url http://dx.doi.org/10.1155/2016/8294056
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AT vishalkumargirishchandrashelat pancreaticopleuralfistulacausingmassiverighthydrothoraxandrespiratoryfailure
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