Arumairaj Antony J, Davalos Fidencio, Matari Hussein, Bamgboje Abayomi O, Habtes Imnett
Internal Medicine, New York Medical College, Metropolitan Hospital Center, New York, USA.
Pulmonary Critical Care, New York Medical College, Metropolitan Hospital Center, New York, USA.
Cureus. 2022 Dec 21;14(12):e32783. doi: 10.7759/cureus.32783. eCollection 2022 Dec.
Transient and reactive pleural effusion is a known consequence of acute pancreatitis. Usually, the pleural effusion is unilateral, transudate, straw-colored, and self-resolving. We report a rare case of massive left-sided black pleural effusion as a complication of acute pancreatitis with the background of chronic pancreatitis being secondary to alcohol abuse. The pleural effusion resulted in hypoxic respiratory failure. However, the patient had significant improvement after drainage of the pleural effusion and the appropriate management of sepsis with broad-spectrum antibiotics. The patient had a significant improvement and recovery with conservative management without the need for endoscopic therapy or surgical intervention.
短暂性和反应性胸腔积液是急性胰腺炎的已知后果。通常，胸腔积液为单侧、漏出液、稻草色且可自行消退。我们报告一例罕见的急性胰腺炎并发症，表现为大量左侧黑色胸腔积液，其背景是长期酗酒继发慢性胰腺炎。胸腔积液导致了低氧性呼吸衰竭。然而，胸腔引流并使用广谱抗生素适当治疗脓毒症后，患者有显著改善。通过保守治疗，患者有显著改善并康复，无需内镜治疗或手术干预。
