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CASE REPORT
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 102-104

Right-Sided pancreaticopleural fistula: An unusual presentation of chronic pancreatitis


1 Department of Internal Medicine and Pulmonology, Mazumdar Shaw Medical Center, Narayana Health, Bengaluru, Karnataka, India
2 Department of Medical Gastroenterology, Mazumdar Shaw Medical Center, Narayana Health, Bengaluru, Karnataka, India
3 Department of Radiology, Mazumdar Shaw Medical Center, Narayana Health, Bengaluru, Karnataka, India
4 Department of Academic Research, Narayana Hrudayalaya Foundations, Bengaluru, Karnataka, India

Correspondence Address:
Dr. V Tamilarasan
Department of Internal Medicine and Pulmonology, Mazumdar Shaw Medical Center, Narayana Health, Bengaluru - 560 099, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijrc.ijrc_29_17

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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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