Left pleural effusion caused by pancreaticopleural fistula with a pancreatic pseudocyst

BMJ Case Rep. 2016 Aug 24;2016:bcr2016217175. doi: 10.1136/bcr-2016-217175.


Pancreaticopleural fistula is an uncommon complication of chronic pancreatitis. The authors described a case of a man with medical history of alcohol-related chronic pancreatitis, presented with dyspnoea. The roentgenogram showed a massive left pleural effusion. Additional work-up revealed a pancreaticopleural fistula and amylase-rich pleural effusion. His respiratory state improved after the insertion of chest drainage tube. During his admission, conservative and endoscopic therapy was required for the treatment of his complication of mediastinal abscess and arterial aneurysm in the pancreatic pseudocyst.

Publication types

  • Case Reports

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde
  • Fatal Outcome
  • Humans
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Pancreatic Fistula / complications*
  • Pancreatic Pseudocyst / complications*
  • Pancreatic Pseudocyst / diagnostic imaging
  • Pancreatitis, Alcoholic / complications
  • Pleural Diseases / complications
  • Pleural Effusion / diagnostic imaging
  • Pleural Effusion / etiology*
  • Respiratory Tract Fistula / complications*
  • Tomography, X-Ray Computed