Del Prado-Rico Christine, Hayes Ryan, Mohamed Nada, Leonard Rachel, Chapman Kyle
Division of Pulmonary, Critical Care, Sleep Medicine, Department of Medicine, West Virginia University, USA.
School of Medicine, West Virginia University, USA.
Respir Med Case Rep. 2023 May 21;44:101874. doi: 10.1016/j.rmcr.2023.101874. eCollection 2023.
Black pleural effusions (BPE) are rare, exudative pleural effusions that produce a black fluid on thoracentesis. While the name and definition of this pathology is undeniably simple, the etiologies, outcomes, and treatments for BPE are incredibly complex. Currently, BPE is not well-demonstrated in the literature. This case series reports three patients with different etiologies, past medical histories, presenting symptoms, treatments, and outcomes. BPE caused by pancreatic-pleural fistula and opportunistic infections are demonstrated in this case series. This report shows that early identification and treatment of the underlying cause of BPE is critical to the recovery of the patients.
黑色胸腔积液（BPE）是一种罕见的渗出性胸腔积液，胸腔穿刺时会抽出黑色液体。虽然这种病理状况的名称和定义无疑很简单，但其病因、预后及治疗却极其复杂。目前，文献中对BPE的阐述并不充分。本病例系列报告了3例病因、既往病史、症状表现、治疗方法及预后各不相同的患者。本病例系列展示了由胰胸膜瘘和机会性感染引起的BPE。该报告表明，早期识别并治疗BPE的潜在病因对患者的康复至关重要。
