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Case Report
Online Published: 06 Jan 2017
 


Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting

Hemanth Kilaru, Mohd Vaseem Jalna, Eshwar Chandra Nandury, Manu Tandan, Satish Chandra Kilaru.


Abstract
We report a case of massive left sided hemorrhagic effusion secondary to pancreaticopleural fistula (PPF) in a young, previously healthy female of 17 years. High pleural fluid amylase levels prompted us for evaluation of this uncommon cause. Computed tomography (CT) of thorax and abdomen and magnetic resonance cholangio-pancreatography (MRCP) confirmed the diagnosis of PPF. Patient was managed with intercostal drainage of pleural effusion and therapeutic endoscopic retrograde cholangio-pancreatography (ERCP) with stenting of the pancreatic duct. Patient recovered completely and is doing well after one year of follow up without any recurrence of pleual effusion. Thus, high index of suspicion, and measurement of pleural fluid amylase, especially in large and or recurrent (left sided) pleural effusions, will help in early and definitive diagnosis of PPF. Above approach with therapeutic ERCP would cure this condition with less morbidity. Advances in the latter techniques dramatically reduced the need for surgical interventions and prolonged hospital stay with conservative treatment approach.

Key words: ERCP, MRCP, Pancreatico-pleural fistula, Pancreatic duct stenting, Pleural effusion


 
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How to Cite this Article
Pubmed Style

Kilaru H, Jalna MV, Nandury EC, Tandan M, Kilaru SC. Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. J Med Allied Sci. 2017; 7(1): 55-58. doi:10.5455/jmas.248549

Web Style

Kilaru H, Jalna MV, Nandury EC, Tandan M, Kilaru SC. Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. https://jmas.in/?mno=248549 [Access: June 22, 2026]. doi:10.5455/jmas.248549

AMA (American Medical Association) Style

Kilaru H, Jalna MV, Nandury EC, Tandan M, Kilaru SC. Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. J Med Allied Sci. 2017; 7(1): 55-58. doi:10.5455/jmas.248549


Vancouver/ICMJE Style

Kilaru H, Jalna MV, Nandury EC, Tandan M, Kilaru SC. Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. J Med Allied Sci. (2017), [cited June 22, 2026]; 7(1): 55-58. doi:10.5455/jmas.248549


Harvard Style

Kilaru, H., Jalna, . M. V., Nandury, . E. C., Tandan, . M. & Kilaru, . S. C. (2017) Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. J Med Allied Sci, 7 (1), 55-58. doi:10.5455/jmas.248549


Turabian Style

Kilaru, Hemanth, Mohd Vaseem Jalna, Eshwar Chandra Nandury, Manu Tandan, and Satish Chandra Kilaru. 2017. Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. Journal of Medical and Allied Sciences, 7 (1), 55-58. doi:10.5455/jmas.248549


Chicago Style

Kilaru, Hemanth, Mohd Vaseem Jalna, Eshwar Chandra Nandury, Manu Tandan, and Satish Chandra Kilaru. "Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting." Journal of Medical and Allied Sciences 7 (2017), 55-58. doi:10.5455/jmas.248549


MLA (The Modern Language Association) Style

Kilaru, Hemanth, Mohd Vaseem Jalna, Eshwar Chandra Nandury, Manu Tandan, and Satish Chandra Kilaru. "Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting." Journal of Medical and Allied Sciences 7.1 (2017), 55-58. Print. doi:10.5455/jmas.248549


APA (American Psychological Association) Style

Kilaru, H., Jalna, . M. V., Nandury, . E. C., Tandan, . M. & Kilaru, . S. C. (2017) Massive pleural effusion from pancreaticopleural fistula: Successfully managed with endoscopic pancreatic duct stenting. Journal of Medical and Allied Sciences, 7 (1), 55-58. doi:10.5455/jmas.248549


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