Ramahi Ahmad, Aburayyan Kanana Mohammad, Said Ahmed Tamer S, Rohit Vyas, Taleb Mohammad
Internal Medicine, University of Toledo Medical Center, Toledo, USA.
Pulmonary / Critical Care Medicine, University of Toledo Medical Center, Toledo, USA.
Cureus. 2019 Jun 24;11(6):e4984. doi: 10.7759/cureus.4984.
Pancreaticopleural fistula (PPF) is a rare complication of pancreatitis that requires a high index of clinical suspicion as patients typically present with pulmonary symptoms related to the pleural effusion rather than pancreatitis. Diagnosis is made by detection of amylase in the pleural fluid. Magnetic resonance cholangiopancreatography can aid in visualizing the fistula. We present a case of massive left pleural effusion secondary to a PPF due to acute on chronic pancreatitis.
胰胸膜瘘（PPF）是胰腺炎的一种罕见并发症，由于患者通常表现出与胸腔积液相关的肺部症状而非胰腺炎症状，因此需要高度的临床怀疑。通过检测胸腔积液中的淀粉酶来进行诊断。磁共振胰胆管造影有助于观察瘘管。我们报告一例因慢性胰腺炎急性发作导致胰胸膜瘘继发大量左侧胸腔积液的病例。
