Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital
Pancreaticopleural fistula (PPF) is a rare (<1%) complication of acute and/or chronic pancreatitis which causes recurrent massive pleural effusions. Patient presents with respiratory symptoms rather than abdominal symptoms, which makes the diagnosis challenging and delayed. Amylase-rich pleural e...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Lung India |
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| Online Access: | https://journals.lww.com/10.4103/lungindia.lungindia_515_24 |
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| author | Rashni Belandor Janardhanachar Veena Bhaskar S. Gowda Sapna Purushotham Aishwarya S. Durgad |
| author_facet | Rashni Belandor Janardhanachar Veena Bhaskar S. Gowda Sapna Purushotham Aishwarya S. Durgad |
| author_sort | Rashni Belandor Janardhanachar |
| collection | DOAJ |
| description | Pancreaticopleural fistula (PPF) is a rare (<1%) complication of acute and/or chronic pancreatitis which causes recurrent massive pleural effusions. Patient presents with respiratory symptoms rather than abdominal symptoms, which makes the diagnosis challenging and delayed. Amylase-rich pleural effusions have been reported in pancreatic diseases, oesophageal rupture, and malignant pleural effusions. Pancreatitis-related effusion including PPF should be kept in mind when a patient with chronic alcohol consumption presents with an effusion and PF amylase may aid with diagnosis. We present a case series of four young males with a history of recurrent massive pleural effusions and their varied clinical presentations, diagnostic work-up, approach and management in a rural tertiary care hospital in south India, thus contributing to literature as well emphasizing the importance of such easily available biomarkers in day-to-day practice. |
| format | Article |
| id | doaj-art-86cf47e11f3b4b14b9d4be9f67f39410 |
| institution | Matheson Library |
| issn | 0970-2113 0974-598X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj-art-86cf47e11f3b4b14b9d4be9f67f394102025-07-04T09:38:58ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2025-07-0142437137510.4103/lungindia.lungindia_515_24Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospitalRashni Belandor JanardhanacharVeena Bhaskar S. GowdaSapna PurushothamAishwarya S. DurgadPancreaticopleural fistula (PPF) is a rare (<1%) complication of acute and/or chronic pancreatitis which causes recurrent massive pleural effusions. Patient presents with respiratory symptoms rather than abdominal symptoms, which makes the diagnosis challenging and delayed. Amylase-rich pleural effusions have been reported in pancreatic diseases, oesophageal rupture, and malignant pleural effusions. Pancreatitis-related effusion including PPF should be kept in mind when a patient with chronic alcohol consumption presents with an effusion and PF amylase may aid with diagnosis. We present a case series of four young males with a history of recurrent massive pleural effusions and their varied clinical presentations, diagnostic work-up, approach and management in a rural tertiary care hospital in south India, thus contributing to literature as well emphasizing the importance of such easily available biomarkers in day-to-day practice.https://journals.lww.com/10.4103/lungindia.lungindia_515_24amylase-rich pleural effusionpancreaticopleural fistulapancreatitisrural tertiary care hospitalsouth india |
| spellingShingle | Rashni Belandor Janardhanachar Veena Bhaskar S. Gowda Sapna Purushotham Aishwarya S. Durgad Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital Lung India amylase-rich pleural effusion pancreaticopleural fistula pancreatitis rural tertiary care hospital south india |
| title | Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital |
| title_full | Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital |
| title_fullStr | Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital |
| title_full_unstemmed | Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital |
| title_short | Pancreaticopleural fistula causing amylase-rich pleural effusion: Case series from a rural tertiary care hospital |
| title_sort | pancreaticopleural fistula causing amylase rich pleural effusion case series from a rural tertiary care hospital |
| topic | amylase-rich pleural effusion pancreaticopleural fistula pancreatitis rural tertiary care hospital south india |
| url | https://journals.lww.com/10.4103/lungindia.lungindia_515_24 |
| work_keys_str_mv | AT rashnibelandorjanardhanachar pancreaticopleuralfistulacausingamylaserichpleuraleffusioncaseseriesfromaruraltertiarycarehospital AT veenabhaskarsgowda pancreaticopleuralfistulacausingamylaserichpleuraleffusioncaseseriesfromaruraltertiarycarehospital AT sapnapurushotham pancreaticopleuralfistulacausingamylaserichpleuraleffusioncaseseriesfromaruraltertiarycarehospital AT aishwaryasdurgad pancreaticopleuralfistulacausingamylaserichpleuraleffusioncaseseriesfromaruraltertiarycarehospital |