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Recurrent pleural effusion in chronic relapsing pancreatitis
The British Journal of Surgery
|July 1, 1975
Summary
Recurrent pleural effusion, a rare complication of chronic relapsing pancreatitis, is highlighted. Elevated enzyme levels in pleural fluid aid diagnosis, with conservative therapy often effective, but surgery may be needed.
Area of Science:
- Pulmonology
- Gastroenterology
- Internal Medicine
Background:
- Chronic relapsing pancreatitis can lead to rare pleuropulmonary complications.
- Pleural effusion is an uncommon but diagnostically significant manifestation.
Observation:
- A case of recurrent pleural effusion in a patient with chronic relapsing pancreatitis is presented.
- Elevated enzyme content in pleural effusion compared to serum is a key diagnostic indicator.
Findings:
- Conservative therapy led to resolution in most reported cases.
- Subtotal pancreatectomy was required in this case due to therapeutic failure, resulting in recovery.
Implications:
- This case underscores the importance of considering pancreatitis as a cause of pleural effusion.
- Diagnostic enzyme level analysis of pleural fluid is crucial.
- Management strategies range from conservative care to surgical intervention.