Pancreaticopleural Fistula: A Rare Complication of Alcoholic Pancreatitis

Abstract

Pancreaticopleural fistula (PPF) is an uncommon complication of chronic pancreatitis. The authors describe a case of a 41-year-old male with a history of chronic alcoholic pancreatitis and pancreatic pseudocyst who presented with dyspnea and right-sided chest pain for three days. A chest radiograph showed near-complete opacification of the right hemithorax. A diagnostic thoracentesis revealed an exudative, amylase-rich pleural effusion. Endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a normal appearance of the ampulla of Vater and common bile duct; however, there was disruption of the pancreatic duct with leaking beyond the pancreatic neck. A sphincterotomy was performed, and a double-flanged stent was placed, which resulted in the resolution of the dyspnea and the right-sided pleural effusion.

Diagnostic Performance of ChatGPT to Perform Emergency Department Triage: A Systematic Review and Meta-analysis

“…The included studies predominantly employed a cross-sectional study design, focusing on a variety of medical cases in emergency departments (EDs). Specifically, seven studies addressed common cases in EDs (8, [11][12][13][14][15][16], two studies focused on mass casualty incidents (17,18), one study examined cases needing neurosurgical attention (19), one study evaluated pre-hospital basic life support and pediatric advanced life support cases (20), two studies dealt with ophthalmic conditions (21,22), and one study focused on metastatic prostate cancer patients (23).…”

“…Regarding the large language models used, six studies exclusively utilized ChatGPT-3.5 (12,(14)(15)(16)(17)(18), four studies used ChatGPT 4.0 (11,(21)(22)(23), and four studies employed both versions of ChatGPT in their analyses (8, 13,19,20). Inter-rater reliability varied among the studies.…”