Right-Sided Pancreaticopleural Fistula: An Unusual Presentation of Chronic Pancreatitis

V. Tamilarasan; Syed Zulkharhain Tousheed; Karthik Gadabanahalli; H. K. Nandish; Vellaichamy M. Annapandian

doi:10.4103/ijrc.ijrc_29_17

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Right-Sided Pancreaticopleural Fistula: An Unusual Presentation of Chronic Pancreatitis

V. Tamilarasan, Syed Zulkharhain Tousheed, Karthik Gadabanahalli, H. K. Nandish, Vellaichamy M. Annapandian

Keywords : Chronic pancreatitis, pancreaticopleural fistula, pleural effusion, pseudocyst

Citation Information : Tamilarasan V, Tousheed SZ, Gadabanahalli K, Nandish HK, Annapandian VM. Right-Sided Pancreaticopleural Fistula: An Unusual Presentation of Chronic Pancreatitis. Indian J Respir Care 2018; 7 (2):102-104.

DOI: 10.4103/ijrc.ijrc_29_17

License: CC BY-NC-SA 4.0

Published Online: 02-12-2022

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Abstract

Pleural effusions due to pancreatitis are more common on the left side, but right-sided pleural effusion is very rare. This case report describes a young male who presented with features of right-sided massive pleural effusion. Magnetic resonance cholangiopancreatography showed, chronic pancreatitis with pseudocyst extending into the mediastinum through esophageal hiatus and communicating with right pleural cavity (pancreaticopleural fistula). The patient improved clinically after placing an intercostal drainage tube and stenting of the main pancreatic duct. A clinician should consider pancreatic pathology also in the differential diagnosis of right-sided pleural effusion, even in the absence of abdominal symptoms and risk factors for pancreatitis, when initial evaluation is inconclusive.

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