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Case Reports
. 2009 Nov 5;10(6):671-3.

Pancreaticopleural fistula: an unusual complication of pancreatitis diagnosed with magnetic resonance cholangiopancreatography

Affiliations
  • PMID: 19890191
Case Reports

Pancreaticopleural fistula: an unusual complication of pancreatitis diagnosed with magnetic resonance cholangiopancreatography

Sameer Vyas et al. JOP. .

Abstract

Context: Pancreaticopleural fistula is a rare complication of pancreatitis. Pleural effusion resulting from a pancreaticopleural fistula is extremely rare and accounts for less than 1% of cases. Due to non-specific clinical presentations of a pancreaticopleural fistula, imaging plays an important role. Magnetic resonance cholangiopancreatography (MRCP) is very useful in depicting parenchymal and ductal structural changes along with direct visualization of a pancreaticopleural fistula.

Case report: We present the case of a middle-aged male with moderate right pleural effusion who had a history of pancreatitis. MRCP showed chronic pancreatitis with a pancreaticopleural fistula. A brief review of the role of imaging in a pancreaticopleural fistula is discussed along with the case.

Conclusion: MRCP is a useful modality for diagnosing a pancreaticopleural fistula.

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