Buradasınız

Left sided Hemorrhagic Pleural effusion due to Acute Pancreatitis and a Pseudocyst

Journal Name:

Publication Year:

Abstract (2. Language): 
A 42 year old male presented to emergency department with shortness of breath and chest pain radiating to back which relieved on lying down. On examination he was tachypneic, cachexic and pale.ChestXray showed left side pleural effusion with subsegmental collapse of left lower lobe. CT abdomen showed calcifications in head of pancreas and a pseudocyst near to body of pancreas along withseptate collections in lesser sac communicating with left pleural effusion. Pleural fluid analysis showed hemorrhagic fluid with significant amylase(21,320 IU/dl) in it. Thoracocentesis was done twice for fluid aspiration and treated symptomatically.OnSurgical consultation a Cystogastrotomy was done and was discharged on stable condition.
318
322

REFERENCES

References: 

1) Raghu MB, Balasubraminian S, Balasubramanyam G. Hemorrhagic pleural effusion: sole manifestation of
pancreatitis. Indian J Pediatr. 1992;59:767–769.
2) Ramsdell CM, Muslow I. Recurrent hemorrhagic pleural effusion associated with relapsing
pancreatitis. South Med J. 1973;66:1016–1018.
3) Gupta D, Chakraborty KL, Gomber S, et al. Massive pancreatico-pleural effusion-an often unrecognized
entity. Indian J Pediatr. 2001;68:883–5.
4) Imai Y, Taniguchi M, Tagawa K, et al. A case of chronic pancreatitis complicated by massive pericardial
and right pleural effusion. GastroenterolJpn. 1993;28:734–8.
5) Siwczynski H. Chronic pleural effusion from the pancreas. WiadLek. 1998;51:190–5.
6) Thandroyen FT, Samson RE, Keeton GR. Hemorrhagic right pleural effusion complicating actue-onchronic
pancreatitis. S Afr Med J. 1984;65:933–934.
7) Dewan NA, Kinney WW, O'Donohue WJ., Jr Chronic massive pancreatic pleural
effusion.Chest. 1984;85:497–501.
8) Uchiyama T, Suzuki T, Adachi A, et al. Pancreatic pleural effusion: case report and review of 113 cases in
Japan. Am J Gastroenterol. 1992;87:387–91.
Indian Journal of Basic and Applied Medical Research; March 2015: Vol.-4, Issue- 2, P. 318-322
319
www.ijbamr.com P ISSN: 2250-284X , E ISSN : 2250-2858
9) Abisheganaden J, Sin Fai Lam KN, Chew LS. Massive pleural effusion in pancreatitis: 2 case
reports. Singapore Med J. 1995;36:487–90.
10) Gumaste V, Singh V, Dave P. Significance of pleural effusion in patients with acute pancreatitis. Am J
Gastroenterol. 1992;87:871–4.
11) Girbes ARJ, Postmus PE, Jansen W, et al. An alcoholic with pleural effusion. EurRespir J.1990;3:934–
936.
12) Svane S. Recurrent, hemorrhagic pleural effusion and eosinophilia accompanying pancreatitis.ActaChir
Scand. 1966;131:352–356.

Thank you for copying data from http://www.arastirmax.com