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Related Concept Videos

Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Pneumothorax-I01:26

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pleural Effusion I: Introduction01:25

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Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Pancreaticopleural fistula.

Abhinav K Rao1, Levi Diggins2, Brett Van-Leer Greenberg3

  • 1Division of Internal Medicine, Trident Medical Center, North Charleston, SC, USA; Digestive Disease Research Center, Medical University of South Carolina, Charleston, SC, USA.

The American Journal of the Medical Sciences
|November 30, 2024
PubMed
Summary

A pancreatic fistula involves pancreatic fluid leakage, often seen in middle-aged men with alcoholism. This rare pancreaticopleural fistula case highlights diagnosis and treatment of recurrent pleural effusion with high amylase.

Keywords:
AmylaseERCPFistulaMRCPPancreasPancreatitis

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Area of Science:

  • Gastroenterology and Hepatology
  • Thoracic Surgery

Background:

  • Pancreatic fistulas result from pancreatic duct disruption or pseudocyst formation.
  • Recurrent pancreaticopleural fistulas are rare, manifesting as pleural effusion and elevated amylase.
  • Chronic alcoholism and pancreatitis are common risk factors.

Purpose of the Study:

  • To present a case of recurrent pancreaticopleural fistula.
  • To review the presentation, pathophysiology, diagnosis, and treatment of this rare condition.

Main Methods:

  • Case report presentation.
  • Literature review on pancreaticopleural fistulas.

Main Results:

  • The case involved a recurrent pancreaticopleural fistula.
  • High amylase levels in pleural fluid were a key diagnostic indicator.

Conclusions:

  • Pancreaticopleural fistulas require accurate diagnosis due to high amylase levels.
  • Understanding pathophysiology is crucial for effective treatment strategies.