Three cases of black pleural effusion

Prado-Rico, Christine Del; Hayes, Ryan; Mohamed, Nada; Leonard, Robert H.; Chapman, Kyle

doi:10.1016/j.rmcr.2023.101874

Cited by 2 publications

(2 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three were a result of infection. There were also isolated cases listing crack cocaine, rheumatoid pleurisy, a bronchopulmonary fistula, and Boerhaave hydropneumothorax as possible culprits [ 5 ]. The diagnosis of a pleural effusion always starts with the physical examination itself.…”

Section: Discussionmentioning

confidence: 99%

Unveiling Complexity: Black Pleural Effusion Due to a Pancreaticopleural Fistula

Aleksiev,

Yavorov,

Markov

et al. 2024

Cureus

View full text Add to dashboard Cite

Black pleural effusions (BPEs) are an exceedingly rare class of exudative effusions of unexplored causality. Their characteristic pitch-black coloring and striking first appearance upon thoracocentesis make them a bewildering occurrence even for seasoned physicians. Forming a free-from-error diagnostic work-up can be arduous and largely depends on thorough history-taking, deliberate imaging studies, and the correct biochemical profile. The upcoming article aims to raise awareness of this pathology by presenting our experience with a BPE after an episode of acute-on-chronic (ACP) pancreatitis and the confounding route to achieving the correct diagnosis and forming the precise therapeutic approach to this scenario. Keeping in mind that this is not a common clinical case, we strive to dispel some misconceptions and thus avoid any subsequent complications and delays in diagnosis when treating this type of effusions and their underlying pathology.

show abstract

Section: Discussionmentioning

confidence: 99%

Unveiling Complexity: Black Pleural Effusion Due to a Pancreaticopleural Fistula

Aleksiev,

Yavorov,

Markov

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…The characteristic pleural effusion resulting from PPF is large, rapidly accumulating, and usually left sided, with patients often requiring repeated thoracocentesis for symptomatic relief [ 6 , 7 ]. Macroscopically, pleural fluid is dark brown or even black, and fluid analysis is usually exudative, with significantly raised amylase (usually >10 000 U·L −1 and can be >50 000 U·L −1 ) [ 5 , 8 ]. Mortality risks in PPF stem mainly from sepsis, empyema and malabsorption [ 9 ].…”

Section: Discussionmentioning

confidence: 99%