Shaikh Ali Tariq, Atiq Ibrar, Gul Saqib, Gul Owais, Ali Wajiha
Internal Medicine, United Health Services Wilson Medical Center, Johnson City, USA.
Internal Medicine, Hamdard College of Medicine & Dentistry, Karachi, PAK.
Cureus. 2023 Jul 10;15(7):e41625. doi: 10.7759/cureus.41625. eCollection 2023 Jul.
Pleural effusion can be a complication of pancreatic diseases. Pancreaticopleural fistula (PPF) is a rare complication arising as a result of chronic pancreatitis that causes recurrent pleural effusions often resistant to thoracentesis. Diagnosis of PPF can be delayed, and presentation with respiratory symptoms related to pleural effusion is common. Elevated pleural fluid amylase and lipase levels are always helpful, but final diagnosis mostly requires demonstration of fistula on imaging modalities, such as computed tomography (CT) scan or magnetic resonance cholangiopancreatography (MRCP). Endoscopic retrograde cholangiopancreatography (ERCP) serves as a diagnostic and therapeutic tool. Here, we present a case of PPF leading to recurrent pleural effusions, treated with stent placement.
胸腔积液可能是胰腺疾病的一种并发症。胰胸膜瘘（PPF）是慢性胰腺炎导致的一种罕见并发症，可引起反复胸腔积液，且胸腔穿刺术往往难以奏效。PPF的诊断可能会延迟，因胸腔积液出现呼吸道症状很常见。胸腔积液淀粉酶和脂肪酶水平升高总是有帮助的，但最终诊断大多需要通过影像学检查手段（如计算机断层扫描（CT）或磁共振胰胆管造影（MRCP））来证实瘘管的存在。内镜逆行胰胆管造影（ERCP）是一种诊断和治疗工具。在此，我们报告一例因PPF导致反复胸腔积液并接受支架置入治疗的病例。
