Recurrent Pleural Effusions Secondary to Pancreaticopleural Fistula: A Case Presentation
Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic pancreatitis that causes recurrent pleural effusions often resistant to thoracentesis. Diagnosis of PPF can be delayed, and presentation with respirat...
Saved in:
| Published in: | Curēus (Palo Alto, CA) Vol. 15; no. 7; p. e41625 |
|---|---|
| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Cureus Inc
10-07-2023
Cureus |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic pancreatitis that causes recurrent pleural effusions often resistant to thoracentesis. Diagnosis of PPF can be delayed, and presentation with respiratory symptoms related to pleural effusion is common. Elevated pleural fluid amylase and lipase levels are always helpful, but final diagnosis mostly requires demonstration of fistula on imaging modalities, such as computed tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP). Endoscopic retrograde cholangiopancreatography (ERCP) serves as a diagnostic and therapeutic tool. Here, we present a case of PPF leading to recurrent pleural effusions, treated with stent placement. |
|---|---|
| AbstractList | Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic pancreatitis that causes recurrent pleural effusions often resistant to thoracentesis. Diagnosis of PPF can be delayed, and presentation with respiratory symptoms related to pleural effusion is common. Elevated pleural fluid amylase and lipase levels are always helpful, but final diagnosis mostly requires demonstration of fistula on imaging modalities, such as computed tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP). Endoscopic retrograde cholangiopancreatography (ERCP) serves as a diagnostic and therapeutic tool. Here, we present a case of PPF leading to recurrent pleural effusions, treated with stent placement. Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic pancreatitis that causes recurrent pleural effusions often resistant to thoracentesis. Diagnosis of PPF can be delayed, and presentation with respiratory symptoms related to pleural effusion is common. Elevated pleural fluid amylase and lipase levels are always helpful, but final diagnosis mostly requires demonstration of fistula on imaging modalities, such as computed tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP). Endoscopic retrograde cholangiopancreatography (ERCP) serves as a diagnostic and therapeutic tool. Here, we present a case of PPF leading to recurrent pleural effusions, treated with stent placement. |
| Author | Gul, Saqib Gul, Owais Atiq, Ibrar Shaikh, Ali Tariq Ali, Wajiha |
| AuthorAffiliation | 1 Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA 2 Internal Medicine, Hamdard College of Medicine & Dentistry, Karachi, PAK |
| AuthorAffiliation_xml | – name: 1 Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA – name: 2 Internal Medicine, Hamdard College of Medicine & Dentistry, Karachi, PAK |
| Author_xml | – sequence: 1 givenname: Ali Tariq surname: Shaikh fullname: Shaikh, Ali Tariq organization: Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA – sequence: 2 givenname: Ibrar surname: Atiq fullname: Atiq, Ibrar organization: Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA – sequence: 3 givenname: Saqib surname: Gul fullname: Gul, Saqib organization: Internal Medicine, Hamdard College of Medicine & Dentistry, Karachi, PAK – sequence: 4 givenname: Owais surname: Gul fullname: Gul, Owais organization: Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA – sequence: 5 givenname: Wajiha surname: Ali fullname: Ali, Wajiha organization: Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37575866$$D View this record in MEDLINE/PubMed |
| BookMark | eNpVkUtLAzEURoMottbuXMuAW1uTzOTlRkppVRAsPsBdSDN3dKRNajIj-O9NbS26uoF7OPcj3xHad94BQicED4Vg6sK2Ado4LAinbA91KeFyIIks9v-8O6gf4zvGmGBBscCHqJMLJpjkvIteHiA5Argmmy2gDWaRTaqqjbV3MXsE611pwlfW-GxmnA1gmtr61Zac1rFpF-YyG2VjEyGbBYjJlBjvjtFBZRYR-tvZQ8_TydP4ZnB3f307Ht0NLOWiGTArVcnAlmrODa4MFrwSCgOBuaBKKSlFil3kucWS8LySIkElUEmM4kBY3kNXG--qnS-htOl-iqZXoV6m4NqbWv_fuPpNv_pPTXBBqCjWhrOtIfiPFmKj330bXAqtqWSqYBRTlajzDWWDjzFAtTtBsF53oTdd6J8uEn76N9YO_v35_Bubyojr |
| Cites_doi | 10.1016/S0272-5231(21)00342-7 10.1002/bjs.1800761106 10.3748/wjg.v17.i42.4696 10.1097/01.mcg.0000139051.74801.43 10.1007/s11938-002-0023-0 10.1007/BF02786125 10.1159/000080199 10.1001/archsurg.1987.01400180030006 10.1007/s00464-004-9140-2 10.1097/00005792-199011000-00002 10.1016/j.jpedsurg.2005.11.082 10.1136/thx.23.3.297 10.1097/MPA.0b013e3181870ad5 |
| ContentType | Journal Article |
| Copyright | Copyright © 2023, Shaikh et al. Copyright © 2023, Shaikh et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2023, Shaikh et al. 2023 Shaikh et al. |
| Copyright_xml | – notice: Copyright © 2023, Shaikh et al. – notice: Copyright © 2023, Shaikh et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Copyright © 2023, Shaikh et al. 2023 Shaikh et al. |
| DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9. M0S PIMPY PQEST PQQKQ PQUKI 5PM |
| DOI | 10.7759/cureus.41625 |
| DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition PubMed Central (Full Participant titles) |
| DatabaseTitle | PubMed CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest One Academic ProQuest Central (Alumni) |
| DatabaseTitleList | Publicly Available Content Database PubMed |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 2168-8184 |
| ExternalDocumentID | 10_7759_cureus_41625 37575866 |
| Genre | Case Reports |
| GroupedDBID | 3V. 53G 5VS 7X7 8FI 8FJ ABUWG ADBBV ADRAZ AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR BPHCQ BVXVI CCPQU FYUFA GROUPED_DOAJ HMCUK HYE KQ8 M48 NPM OK1 PGMZT PIMPY PQQKQ PROAC RPM UKHRP AAYXX CITATION 7XB 8FK AZQEC DWQXO K9. PQEST PQUKI 5PM |
| ID | FETCH-LOGICAL-c267t-5c89d5ecd9b6a0fa076f790e1eb72999887107433c08163f870fade281a96e153 |
| IEDL.DBID | RPM |
| ISSN | 2168-8184 |
| IngestDate | Tue Sep 17 21:31:42 EDT 2024 Thu Oct 10 19:52:29 EDT 2024 Fri Aug 23 00:19:13 EDT 2024 Tue Aug 27 13:49:17 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 7 |
| Keywords | chronic pancreatitis pancreaticopleural fistula pleural effusion ercp pancreatic pseudocysts |
| Language | English |
| License | Copyright © 2023, Shaikh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c267t-5c89d5ecd9b6a0fa076f790e1eb72999887107433c08163f870fade281a96e153 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412745/ |
| PMID | 37575866 |
| PQID | 2859452029 |
| PQPubID | 2045583 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_10412745 proquest_journals_2859452029 crossref_primary_10_7759_cureus_41625 pubmed_primary_37575866 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-07-10 |
| PublicationDateYYYYMMDD | 2023-07-10 |
| PublicationDate_xml | – month: 07 year: 2023 text: 2023-07-10 day: 10 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: Palo Alto – name: Palo Alto (CA) |
| PublicationTitle | Curēus (Palo Alto, CA) |
| PublicationTitleAlternate | Cureus |
| PublicationYear | 2023 |
| Publisher | Cureus Inc Cureus |
| Publisher_xml | – name: Cureus Inc – name: Cureus |
| References | Alexakis N (ref14) 2004; 21 Halttunen J (ref15) 2005; 19 Duncan ND (ref7) 2006; 41 Voss M (ref11) 2002; 5 Kaye MD (ref1) 1968; 23 Sut M (ref9) 2009; 78 Fielding GA (ref4) 1989; 76 Dhebri AR (ref6) 2005; 6 Rockey DC (ref3) 1990; 69 Barnes SM (ref13) 1993; 14 Ali T (ref8) 2009; 38 Wronski M (ref10) 2011; 17 Chebli JM (ref12) 2004; 38 Light RW (ref2) 1985; 6 Pottmeyer EW 3rd (ref5) 1987; 122 |
| References_xml | – volume: 6 year: 1985 ident: ref2 article-title: Exudative pleural effusions secondary to gastrointestinal diseases publication-title: Clin Chest Med doi: 10.1016/S0272-5231(21)00342-7 contributor: fullname: Light RW – volume: 76 year: 1989 ident: ref4 article-title: Acute pancreatitis and pancreatic fistula formation publication-title: Br J Surg doi: 10.1002/bjs.1800761106 contributor: fullname: Fielding GA – volume: 6 year: 2005 ident: ref6 article-title: Nonsurgical management of pancreaticopleural fistula publication-title: JOP contributor: fullname: Dhebri AR – volume: 78 year: 2009 ident: ref9 article-title: Pancreaticopleural fistula: a rare complication of ERCP-induced pancreatitis publication-title: Ulster Med J contributor: fullname: Sut M – volume: 17 year: 2011 ident: ref10 article-title: Optimizing management of pancreaticopleural fistulas publication-title: World J Gastroenterol doi: 10.3748/wjg.v17.i42.4696 contributor: fullname: Wronski M – volume: 38 year: 2004 ident: ref12 article-title: Internal pancreatic fistulas: proposal of a management algorithm based on a case series analysis publication-title: J Clin Gastroenterol doi: 10.1097/01.mcg.0000139051.74801.43 contributor: fullname: Chebli JM – volume: 5 year: 2002 ident: ref11 article-title: Pancreatic fistula publication-title: Curr Treat Options Gastroenterol doi: 10.1007/s11938-002-0023-0 contributor: fullname: Voss M – volume: 14 year: 1993 ident: ref13 article-title: Somatostatin analog treatment of pancreatic fistulas publication-title: Int J Pancreatol doi: 10.1007/BF02786125 contributor: fullname: Barnes SM – volume: 21 year: 2004 ident: ref14 article-title: Surgical treatment of pancreatic fistula publication-title: Dig Surg doi: 10.1159/000080199 contributor: fullname: Alexakis N – volume: 122 year: 1987 ident: ref5 article-title: Pancreaticopleural fistulas publication-title: Arch Surg doi: 10.1001/archsurg.1987.01400180030006 contributor: fullname: Pottmeyer EW 3rd – volume: 19 year: 2005 ident: ref15 article-title: The endoscopic management of pancreatic fistulas publication-title: Surg Endosc doi: 10.1007/s00464-004-9140-2 contributor: fullname: Halttunen J – volume: 69 year: 1990 ident: ref3 article-title: Pancreaticopleural fistula. Report of 7 patients and review of the literature publication-title: Medicine (Baltimore) doi: 10.1097/00005792-199011000-00002 contributor: fullname: Rockey DC – volume: 41 year: 2006 ident: ref7 article-title: Pancreaticopleural fistula: a rare thoracic complication of pancreatic duct disruption publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2005.11.082 contributor: fullname: Duncan ND – volume: 23 year: 1968 ident: ref1 article-title: Pleuropulmonary complications of pancreatitis publication-title: Thorax doi: 10.1136/thx.23.3.297 contributor: fullname: Kaye MD – volume: 38 year: 2009 ident: ref8 article-title: Pancreaticopleural fistula publication-title: Pancreas doi: 10.1097/MPA.0b013e3181870ad5 contributor: fullname: Ali T |
| SSID | ssj0001072070 |
| Score | 2.2771978 |
| Snippet | Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic... Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic... |
| SourceID | pubmedcentral proquest crossref pubmed |
| SourceType | Open Access Repository Aggregation Database Index Database |
| StartPage | e41625 |
| SubjectTerms | Abdomen Case reports Catheters Cysts Dyspnea Endoscopy Fistula Gastroenterology Internal Medicine Medical imaging Pancreas Pancreatitis Pleural effusion Proteins Pulmonology Thoracentesis Tomography X-rays |
| Title | Recurrent Pleural Effusions Secondary to Pancreaticopleural Fistula: A Case Presentation |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/37575866 https://www.proquest.com/docview/2859452029 https://pubmed.ncbi.nlm.nih.gov/PMC10412745 |
| Volume | 15 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV07T8MwED5RBsSCeFNe8gBj2zywnbCh0ooFVPGQ2CI_BVJJUdsM_HvunAYKbMxxrOjz2ffd5fwdwJnhWmgKSxSXGKAo5zs6RltG55UaiwTChlv8Nw_y7jm7HpBMjmjuwoSifaNfu-X4rVu-voTayvc302vqxHqj235MIlHygvda0EJyuBSjh8xKJBM05LrKXUqe90w1ddWsi9yDOmIv-58_pPJ3beSSsxluwsaCJbKr-mu2YMWV27B2u_gPvgPP95QmJ2ElNho7Us5gA-8rynzN2APFuFZNP9h8wka4qoEXGqoUDyOHuLLVWF2yK9ZHH8ZG3zeQyl14Gg4e-zedRY-EjkmEnHe4yXLLnbG5FiryKpLCyzxysdOIDMZSGBARS0gNddhIPW5Pr6xLsljlwuFxtwer5aR0B8BSnCLxIom90SR4pFXsbM6Rohkd8ci24bxBrnivpTAKDCEI4aJGuAgIt-G4gbVYbIhZQTp5FzyJkrwN-zXCX5OkEjljJkQbsh_Yfw0gCeyfT9AyghR2YwmH_3_1CNaphTzla-PoGFbn08qdQGtmq9NgV58lHtdo |
| link.rule.ids | 230,315,729,782,786,887,27933,27934,53800,53802 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9tAEB7xkNpeCn2nQLsHekyyttlduzcUEgWVoAioxM3ap4oUDEriQ_99Z9YxhHLjvOuV5W9255vx7DcAh1YYaSgs0UJhgKJ96JoEbRmdV2YdEggXb_GPL9X5dX4yJJkc2d6FiUX71tz0qtltr7r5E2sr729tv60T608ng4REotSR6G_CNm5Yztei9Jhb4SpFU27q3JUSRd_Wc18vesg-qCf2ugd6Riv_r45cczejnZe-6C68XRFMdtyMv4MNX72HV5PVL_QPcH1BGXbSZGLTmSfRDTYMoaak2YJdUnjs9PwvW96xKRpEpJSWiszjzBEaRT3TP9kxG6D7Y9PHy0vVR_g9Gl4Nxt1Ve4WuTaVadoXNCye8dYWRmgfNlQyq4D7xBhk3hmEYSxHByCw158gC7uygnU_zRBfS40n5Cbaqu8p_AZbhEmmQaRKsIa0koxPvCoHszhouuOvAj_aTl_eNikaJ0QdBUzbQlBGaDuy3eJSrvbQoSWLvSKQ8LTrwuYHmYZFMId3MpexA_gS0hwmknv10BLGKKtotNl9f_uh3eD2-mpyVZ6fnv_bgDXWip7Rvwvdhazmv_QFsLlz9LRrnP2BU7Rk |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1NT9tAEB0BlVAvlJa2pIV2D3BMvLZZr80NhUSgFmRBK3Gz9lNFCiZK4gP_npl1TAO90bPXK8tv1vNmPPMG4MAInWkKS5SQGKAo5_s6RltG55UaiwTChi7-s2t5eZOfjkgm57jrhQlF-0bfDurJ3aC-_RNqK6d3JurqxKLyYhiTSJQ8EtHU-mgd3uCh5clKpB7yK1wmaM5trbuUoohMM3PNfIAMhOZir3qhf6jlywrJFZczfvc_D7sNW0uiyU7aNe9hzdUfYPNi-St9B26uKNNO2kysnDgS32Aj7xtKns3ZNYXJVs0e2OKelWgYgVoaKjYPK8doHM1EHbMTNkQ3yMq_TUz1R_g9Hv0anvWXYxb6Jsnkoi9MXljhjC10prhXXGZeFtzFTiPzxnAMYyoiGqmhIR2pxxPulXVJHqsic_jF_AQb9X3tdoGluEXisyT2RpNmklaxs4VAlmc0F9z24LB77dW0VdOoMAoheKoWnirA04O9DpNqeabmFUntHYmEJ0UPPrfwPG2SSqSdeZb1IH8G3NMCUtF-fgXxCmraHT5fXn_rd9gsT8fVz_PLH1_hLQ2kp-xvzPdgYzFr3D6sz23zLdjnI9ML75k |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Recurrent+Pleural+Effusions+Secondary+to+Pancreaticopleural+Fistula%3A+A+Case+Presentation&rft.jtitle=Cur%C4%93us+%28Palo+Alto%2C+CA%29&rft.au=Shaikh+Ali+Tariq&rft.au=Ibrar%2C+Atiq&rft.au=Gul+Saqib&rft.au=Owais%2C+Gul&rft.date=2023-07-10&rft.pub=Cureus+Inc&rft.eissn=2168-8184&rft.volume=15&rft.issue=7&rft_id=info:doi/10.7759%2Fcureus.41625&rft.externalDBID=HAS_PDF_LINK |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2168-8184&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2168-8184&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2168-8184&client=summon |