Massive pleural effusion due to pancreatic pseudocyst.

Girbes, Arj; Postmus, P. E.; Jansen, W; Jagt, van der Eric; Kleibeuker, Jan H.

doi:10.1136/thx.45.7.563

Cited by 6 publications

(2 citation statements)

References 3 publications

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“…61,62 Four cases of pseudocyst rupture were diagnosed using pleural uid amylase measurement, but in all cases the serum amylase was also raised. 63 Amylase activity is also raised in effusions associated with oesophageal rupture and in approximately 10% of malignant effusions (salivary type), extremely high values being found in some adenocarcinomata of lung and ovary. 64 Since oesophageal rupture would usually be diagnosed by other means the diagnostic value of amylase measurement here seems questionable.…”

Section: Ph (`Does This Parapneumonic Effusion Need Draining?')mentioning

confidence: 99%

Biochemical analysis of pleural fluid: what should we measure?

Tarn¹,

Lapworth²

2001

Ann Clin Biochem

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Biochemical examination of pleural fluid is usually done to try to identify the cause of a pleural effusion. The various analytes that have been suggested for this are reviewed and evaluated. Distinguishing whether the effusion is an exudate or transudate is a pragmatic first step. with further investigations dictated by the clinical features and these results. Total protein and lactate dehydrogenase were used first; Light's criteria were published in 1972 and since then additional markers including cholesterol, bilirubin and albumin gradient plus combinations of these have been proposed. Although combination testing does improve the sensitivity for diagnosis of an exudate. this is at the expense of specificity. Measurement of fluid to serum ratios appears to confer no advantage, and if a single test is required total protein performs as well as any. Additional tests may be useful in specific circumstances: pleural fluid pH may aid decisions over drainage of a parapneumonic effusion; glucose may indicate an effusion associated with rheumatoid arthritis; and adenosine deaminase may help with the diagnosis of tuberculous effusions.

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Section: Ph (`Does This Parapneumonic Effusion Need Draining?')mentioning

confidence: 99%

Biochemical analysis of pleural fluid: what should we measure?

Tarn¹,

Lapworth²

2001

Ann Clin Biochem

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“…A massive pleural effusion is a rare complication of pancreatitis due to leakage of pancreatic juice into the pleural cavity from an incompletely formed or ruptured pseudocyst or as a result of direct pancreatic duct leak in some cases. 1 In acute pancreatitis, majority cases of pleural effusions are small and self limiting with amylase levels rarely exceeding 4000 IU/L. 2 A large recurrent pleural effusion with a high pleural fluid protein (>3 g/dL) and amylase(>1000 IU/L) is characteristic of pancreatico-pleural fistula (PPF).…”

Section: Discussionmentioning

confidence: 99%

Massive Recurrent Pleural Effusion in a 35-Year-Old Non-Smoking Male

Gowrinath¹,

C²

2022

The Indian Journal of Chest Diseases and Allied Sciences

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A 35-year-old non-smoking male presented with exertional breathlessness of 14 days duration. There was no history of cough or fever. A month earlier he took treatment for an acute abdomen. He had a history of alcohol consumption regularly for atleast 15 years until one year back. Respiratory system examination showed features of a massive pleural effusion on left side. Abdomen was mildly distended but there was no tenderness or free fluid. InvestigationsBlood examination showed a total leucocyte count of 12240/mm 3 . Blood chemistry was normal. A chest radiograph (postero-anterior view; Figure 1) and computed tomographic (CT) scan of chest (Figure 2) showed a massive left-sided pleural effusion with a shift of the mediastinal contents to the opposite side. A

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The role of thoracoscopy in the diagnosis of pleural pathology

Bourcereau¹,

Gharbi²

1992

Surgical Thoracoscopy

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Massive pleural effusion due to pancreatic pseudocyst.

Cited by 6 publications

References 3 publications

Biochemical analysis of pleural fluid: what should we measure?

Biochemical analysis of pleural fluid: what should we measure?

Massive Recurrent Pleural Effusion in a 35-Year-Old Non-Smoking Male

The role of thoracoscopy in the diagnosis of pleural pathology

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