Pancreaticopleural Fistula with Massive Left Hemothorax : A Case Report

Dr.PUTTA RAJSEKHAR; Dr.DIGUVINTI.SREERAMULU; Dr.SAMEERAJA VADDERA; Dr.PRATHAP BINGI

Volume : IV, Issue : VI, June - 2014

Pancreaticopleural Fistula with Massive Left Hemothorax : A Case Report

Dr. Putta Rajsekhar, Dr. Diguvinti. Sreeramulu, Dr. Sameeraja Vaddera, Dr. Prathap Bingi

Abstract :

Pancreaticopleural fistula is a rare clinical condition. Because of the paucity of clues suggestive of pancreatic disease and the preponderance of pulmonary symptoms and signs, its presentation is confusing. Pleural effusions are large, recurrent, highly exudative in nature often hemorrhagic. Many patients undergo extensive pulmonary evaluation before the pancreas is identified as the site of primary pathology.The therapeutic options include medical, endoscopic, as well as surgical interventions. Here we report a case of idiopathic chronic pancreatitis presenting as massive left sided hemothorax with asymptomatic pseudocyst of pancreas with pancreaticopleural fistula.After 3 weeks of medical therapy,endoscopic stenting was planned which failed.Finally she recovered with surgical treatment. This case demonstrates that the rarity of such a condition leads to delay as well as challenges in diagnosis and management.