Irish medical journal · 2026
Pancreaticopleural fistula - A rare complication of pancreatitis.
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Leel M U, Ismail H, Abdalla A, Neilan L, Stack R, Hynes J
Аннотация
PRESENTATION: A rare case of pancreaticopleural fistula in a 53-year-old female patient who presented with unsteady gait and shortness of breath on the background of chronic pancreatitis.
DIAGNOSIS: Diagnosis was confirmed through MRI, MRCP, and analysis of pleural fluid obtained via thoracentesis.
TREATMENT: Diagnosis was confirmed through MRI, MRCP, and analysis of pleural fluid obtained via thoracentesis.
DISCUSSION: This case highlights a rare complication of acute pancreatitis that requires a high index of clinical suspicion for timely diagnosis. Pancreaticopleural fistulas should be considered an important differential diagnosis for pleural effusions, particularly in patients with chronic pancreatitis. Optimal management involves a multidisciplinary team, including gastroenterologists, surgeons, radiologists, and dieticians.
DIAGNOSIS: Diagnosis was confirmed through MRI, MRCP, and analysis of pleural fluid obtained via thoracentesis.
TREATMENT: Diagnosis was confirmed through MRI, MRCP, and analysis of pleural fluid obtained via thoracentesis.
DISCUSSION: This case highlights a rare complication of acute pancreatitis that requires a high index of clinical suspicion for timely diagnosis. Pancreaticopleural fistulas should be considered an important differential diagnosis for pleural effusions, particularly in patients with chronic pancreatitis. Optimal management involves a multidisciplinary team, including gastroenterologists, surgeons, radiologists, and dieticians.