November 12, 2014
Notes: Mustafa, Abdalla
Corless, David J
Slavin, John P
Surg Endosc. 2014 Jan;28(1):127-33. doi: 10.1007/s00464-013-3138-6. Epub 2013 Aug 28.
Author Address: Department of Surgery, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, CW1 4QJ, UK, email@example.com.
Reference Type: Journal Article
Record Number: 4873Author: Naha, K., Dasari, S., Vivek, G., Hande, M. and Acharya, V.
Title: Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion
Journal: BMJ Case Rep
Short Title: Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion
Alternate Journal: BMJ case reports
ISSN: 1757-790X (Electronic)
Accession Number: 24130204
Keywords: Abdominal Pain/etiology
Tomography, X-Ray Computed
Abstract: We described a 45-year-old previously healthy man presenting with progressively worsening breathlessness for 10 days. Physical examination was suggestive of a left-sided pleural effusion. A chest X-ray was confirmatory. Analysis of aspirated fluid showed a lymphocytic exudate with grossly elevated amylase and lipase levels. CT revealed chronic calcific pancreatitis as the underlying cause of effusion. Retrospective questioning failed to identify classical symptoms of chronic pancreatitis including abdominal pain and steatorrhoea. The patient was managed with intercostal drainage and supportive care. Although unusual, chronic pancreatitis should be kept as a differential diagnosis in patients with unilateral exudative pleural effusion. Elevated fluid levels of amylase and lipase are useful clues to this uncommon diagnosis.
Notes: Naha, Kushal