Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion

Kushal Naha, Sowjanya Dasari, G. Vivek, Manjunath Hande, Vasudev Acharya

Research output: Contribution to journalArticle

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Abstract

We described a 45-year-old previously healthy man presenting with progressively worsening breathlessness for 10 days. Physical examination was suggestive of a left-sided pleural effusion. A chest X-ray was confirmatory. Analysis of aspirated fluid showed a lymphocytic exudate with grossly elevated amylase and lipase levels. CT revealed chronic calcific pancreatitis as the underlying cause of effusion. Retrospective questioning failed to identify classical symptoms of chronic pancreatitis including abdominal pain and steatorrhoea. The patient was managed with intercostal drainage and supportive care. Although unusual, chronic pancreatitis should be kept as a differential diagnosis in patients with unilateral exudative pleural effusion. Elevated fluid levels of amylase and lipase are useful clues to this uncommon diagnosis.

Original languageEnglish
Article number009198
JournalBMJ Case Reports
DOIs
Publication statusPublished - 15-10-2013

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Chronic Pancreatitis
Pleural Effusion
Amylases
Lipase
Steatorrhea
Exudates and Transudates
Dyspnea
Abdominal Pain
Physical Examination
Drainage
Differential Diagnosis
Thorax
X-Rays
Calcific Pancreatitis

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Naha, Kushal ; Dasari, Sowjanya ; Vivek, G. ; Hande, Manjunath ; Acharya, Vasudev. / Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion. In: BMJ Case Reports. 2013.
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Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion. / Naha, Kushal; Dasari, Sowjanya; Vivek, G.; Hande, Manjunath; Acharya, Vasudev.

In: BMJ Case Reports, 15.10.2013.

Research output: Contribution to journalArticle

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