Article Text

Unusual presentation of more common disease/injury
Rare case of internal pancreatic fistula in a young adult presenting with massive bilateral pleural effusion
  1. Sudhir Kumar Jain,
  2. Baljeet Kumar Basra,
  3. Gitika Nanda,
  4. R Srivathsan,
  5. R C M Kaza
  1. Maulana Azad Medical College, Department of Surgery, B.S. Zafar Marg, Delhi, 110002, India
  1. sudhirkumar11{at}


Pancreatic pleural fistula is a rare sequel of acute or chronic pancreatitis. The diagnosis is usually delayed due to low index of suspicion and the need for advanced diagnostic tools. The clinical presentation is often misleading because respiratory rather than abdominal symptoms predominate. The majority of reported cases of pancreatic pleural fistula present as unilateral pleural effusion; presentation as bilateral pleural effusion is extremely rare. We report a case of a 16-year-old boy with traumatic acute pancreatitis who presented with a massive bilateral pleural effusion caused by pancreatico-pleural fistula.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.