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Rare case of bilateral pleural effusion caused by pancreaticopleural fistula
Ivana Kull1, Oriane Sottas2, Hervé Zender2
1Department of Internal Medicine, Réseau hospitalier neuchâtelois, Neuchâtel, Switzerland ivana01.kull@gmail.com.
Abstract:
A 51-year-old man presented with dyspnoea and basithoracic pain. Chest X-ray revealed bilateral pleural effusion, which was managed by bilateral chest drain placement. The pleural fluid analysis showed elevated lipase. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a large fistula from the tail of the main pancreatic duct to the left pleural space. Definitive treatment was accomplished with ERCP guided large pancreatic stents placement.
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