Journal
JOURNAL OF POSTGRADUATE MEDICINE
Volume 66, Issue 4, Pages 206-208Publisher
WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/jpgm.JPGM_720_20
Keywords
ERCP; pancreatic duct stenting; pancreatic; pleural fistula; pancreatitis
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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.
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