The leaking pancreatic duct in childhood chronic pancreatitis

Ghosh, Dhruv; Sen, Sudipta; Chacko, Jacob; Thomas, Gordon; Karl, Sampath; Mathai, John

doi:10.1007/s00383-006-1793-6

Cited by 7 publications

(6 citation statements)

References 13 publications

(18 reference statements)

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“…A pancreatic fistula resulting in a PPE or PA is confirmed with elevated amylase and protein content in the pleural and/or ascitic fluids, as described in both cases. Serum amylase may also be elevated [6,12]. Children with pancreatic fistulae usually present with significant malnutrition, low serum albumin <30 g/L, and a history of progressive abdominal distension [12].…”

Section: Discussionmentioning

confidence: 99%

Pleural effusion secondary to chronic pancreatitis in childhood

Lim

Gauld

2021

Respirology Case Reports

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Pleural effusion secondary to a pancreatico‐pleural fistula is a very rare presentation in children, with limited reports in the literature. We describe two differing presentations of pleural effusions resulting from chronic pancreatitis (CP) with successful resolution of the pleural effusion. These cases highlight the need for consideration of this rare paediatric diagnosis, and the variety of investigations, management strategies, and complications that can occur in the setting of CP in children.

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Section: Discussionmentioning

confidence: 99%

Pleural effusion secondary to chronic pancreatitis in childhood

Lim

Gauld

2021

Respirology Case Reports

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“…Two common mechanisms of pancreatic pleural effusion are transdiaphragmatic lymphatic blockage or pancreatico-pleural fistula secondary to leak and disruption of the pancreatic duct or pseudocyst. Left-sided pleural effusion, once considered a marker of acute pancreatitis, is indeed a poor prognostic indicator and is associated with 20% to 30% mortality [5][6][7][8].…”

Section: Acute Pancreatitis In Children Can Have Variable Presentatiomentioning

confidence: 99%

“…Blunt pancreatic injuries without ductal leak usually resolve with mere conservative management. On the other hand, damage to the ductal system, if inadequately treated or untreated, can result in prolonged morbidity [3,7].…”

Section: Vol 2 Issue 4 Oct -Dec 2016mentioning

confidence: 99%

Pleural Effusion Due to Concealed Abdominal Injury

Deshmukh¹,

Prasad²

2016

IJCR

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An eleven-year-old boy presented with massive left sided pleural effusion after non-response to intercostal chest tube drainage and empirical anti-tubercular treatment. The pleural fluid was hemorrhagic, did not grow any organism, nor had any malignant cell. A raised amylase level was indicative of pancreatic origin of the effusion. He had no abdominal sign. He had also developed disseminated intravascular coagulation. On revisiting history, the boy could recollect blunt abdominal injury prior to the onset of the illness. Endoscopic retrograde cholangiopancreatography revealed ductal leak at the neck of the pancreas that was endoscopically sealed using a stent. This case highlights the importance of a thorough search into the etiology of hemorrhagic pleural effusion. The symptoms and signs of pancreatic injury may be subtle, and the former should be suspected in case of blunt abdominal trauma.

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“…3 Angiogram showing bleeding pseudo-aneurism in a replaced hepatic artery suspected by raised serum amylase and gross elevation of ascitic fluid amylase. Prompt and definitive surgical management is recommended for this potentially lethal condition [62]. Endoscopic therapy offers an excellent therapeutic alternative in patients with pancreatic ascites and pleural effusion [59,63].…”

Section: Pancreatic Ascitesmentioning

confidence: 99%

Chronic Pancreatitis: A Review

Pujahari¹

2015

Indian J Surg

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This is to incorporate the recent trends in chronic pancreatitis. Extensive literature search was done from Pubmed and Ovid SP. Full text articles and abstracts related to chronic pancreatitis were reviewed and the article was prepared. Chronic pancreatitis is evolving fast on its etiology and treatment areas. The main etiological factors are pointing towards genetic, alcohol, and smoking. Autoimmune has also been added as a cause. Endoscopic ultra sound (EUS) becoming the standard diagnostic procedure. Surgery is becoming the treatment of choice for pain and mechanical complications and not the endotherapy in the long-term follow-up. The numbers of surgeries are getting narrowed down. The two etiological groups of chronic pancreatitis namely alcohol + smoking and genetic getting clearer, where the later group present at an early age. Endoscopic ultrasound and imaging with secretin is diagnostic of chronic pancreatitis before the structural changes. Endotherapy is found to be inferior to surgery in long-term pain relief. Diagnostic criteria for autoimmune pancreatitis are established. Pancreaticogenic diabetes (Type3c) and its problem associated with fat malabsorption are being understood.

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The leaking pancreatic duct in childhood chronic pancreatitis

Cited by 7 publications

References 13 publications

Pleural effusion secondary to chronic pancreatitis in childhood

Pleural effusion secondary to chronic pancreatitis in childhood

Pleural Effusion Due to Concealed Abdominal Injury

Chronic Pancreatitis: A Review

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