1973
DOI: 10.1136/bmj.1.5849.330
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Pleural Effusion with Pancreaticopleural Fistula

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Cited by 54 publications
(31 citation statements)
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“…pseudocyst, which will in turn rupture into the pleural cavity to form a PPF. (4)(5)(6)(7)(8)(9)(10) Direct transdiaphragmatic extension of the fistula into the mediastinum has also been reported. (9) The resulting pleural effusion from ascending fistulisation should be distinguished from the small, self-limiting left-sided effusion that occurs in 3%-17% of patients with acute pancreatitis.…”
Section: Case Illustr Ationmentioning
confidence: 99%
See 1 more Smart Citation
“…pseudocyst, which will in turn rupture into the pleural cavity to form a PPF. (4)(5)(6)(7)(8)(9)(10) Direct transdiaphragmatic extension of the fistula into the mediastinum has also been reported. (9) The resulting pleural effusion from ascending fistulisation should be distinguished from the small, self-limiting left-sided effusion that occurs in 3%-17% of patients with acute pancreatitis.…”
Section: Case Illustr Ationmentioning
confidence: 99%
“…(11,15) In the past, imaging of PPF was attempted via intrapleural injection of contrast media. (7) At present, although CT of the thorax and abdomen has been successful in identifying PPF, its overall ability to provide accurate delineation of the fistula is disputable and its sensitivity is poor compared to the other modalities. Nevertheless, CT is still useful in demonstrating pancreatic parenchymal atrophy, calcification, duct dilatation and pseudocysts.…”
Section: Diagnosis and Investig Ationsmentioning
confidence: 99%
“…The ruptured cyst passes either through the aortic or oesophageal hiatus or directly through diaphragm into pleural cavity leading to pancreaticopleural fistula (Tombroff et al, 1973). The enzyme-rich pleural fluid is due to disruption of the dorsal pancreatic ductal system (Traverso & Kozarek, 1999).Typically, the patients are middle-aged males(40-50 years) with chronic pancreatitis related mainly to alcohol abuse.…”
Section: Discussionmentioning
confidence: 99%
“…Was first described in 1973 by Tombroff 10 . Is estimated to occur in 0.4% of patients with pancreatitis.…”
Section: Introductionmentioning
confidence: 99%