Aleksiev Vladimir, Yavorov Boyko, Markov Daniel, Shterev Filip, Stanchev Desislav, Hristov Bozhidar, Todorov Ilia
Department of Cardiovascular Surgery, Medical University of Plovdiv, Plovdiv, BGR.
Department of General and Clinical Pathology, Medical University of Plovdiv, Plovdiv, BGR.
Cureus. 2024 Apr 21;16(4):e58687. doi: 10.7759/cureus.58687. eCollection 2024 Apr.
Black pleural effusions (BPEs) are an exceedingly rare class of exudative effusions of unexplored causality. Their characteristic pitch-black coloring and striking first appearance upon thoracocentesis make them a bewildering occurrence even for seasoned physicians. Forming a free-from-error diagnostic work-up can be arduous and largely depends on thorough history-taking, deliberate imaging studies, and the correct biochemical profile. The upcoming article aims to raise awareness of this pathology by presenting our experience with a BPE after an episode of acute-on-chronic (ACP) pancreatitis and the confounding route to achieving the correct diagnosis and forming the precise therapeutic approach to this scenario. Keeping in mind that this is not a common clinical case, we strive to dispel some misconceptions and thus avoid any subsequent complications and delays in diagnosis when treating this type of effusions and their underlying pathology.
黑色胸腔积液（BPEs）是一类极为罕见的渗出性胸腔积液，其病因尚不明确。它们特有的漆黑颜色以及胸腔穿刺时首次出现的惊人外观，即便对于经验丰富的医生来说也是令人困惑的情况。形成无差错的诊断流程可能很困难，并且很大程度上依赖于全面的病史采集、审慎的影像学检查以及正确的生化指标。即将发表的文章旨在通过介绍我们在一例急性慢性胰腺炎（ACP）发作后出现BPE的经验，以及实现正确诊断和形成针对这种情况的精确治疗方法的复杂过程，来提高对这种病理情况的认识。请记住，这并非常见的临床病例，我们努力消除一些误解，从而在治疗这类胸腔积液及其潜在病理情况时避免任何后续并发症和诊断延误。
