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Case report
Rare case of bilateral pleural effusion caused by pancreaticopleural fistula
  1. Ivana Kull1,
  2. Oriane Sottas2,
  3. Hervé Zender2 and
  4. Galab Hassan3
  1. 1Department of Internal Medicine, Réseau hospitalier neuchâtelois, Neuchâtel, Switzerland
  2. 2Department of Internal Medicine, Réseau hospitalier neuchâtelois, La Chaux de Fonds, Switzerland
  3. 3Department of Gastroenterology, Réseau Hospitalier Neuchâtelois, Neuchâtel, Switzerland
  1. Correspondence to Ivana Kull; ivana01.kull{at}


A 51-year-old man presented with dyspnoea and basithoracic pain. Chest X-ray revealed bilateral pleural effusion, which was managed by bilateral chest drain placement. The pleural fluid analysis showed elevated lipase. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a large fistula from the tail of the main pancreatic duct to the left pleural space. Definitive treatment was accomplished with ERCP guided large pancreatic stents placement.

  • endoscopy
  • pancreas and biliary tract
  • pancreatitis

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  • Contributors Supervised by HZ. Patient was under the care of HZ, IK (junior doctor), OS (junior doctor) and GH. Report was written by IK, OS and HZ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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