{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:40:49Z","timestamp":1756384849137,"version":"3.40.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/><jats:p>Pancreaticopleural fistula is an extremely rare complication of chronic pancreatitis with characteristic feature that it may appear in the absence of changes of acute pancreatitis. We present a case of a 32-year-old man whose CT scan showed multiple pseudocysts along the body and tail of the pancreas, left crus of diaphragm and in the posterior mediastinum with associated splenoportal thrombosis. MR cholangiopancreatography imaging diagnosed the case as a pancreatico-pleural fistula, with the fistulous tract connecting distal body and tail of the pancreas to the posterior mediastinum through a diaphragmatic hiatus with right-sided mild-to-moderate pleural effusion. Meanwhile the patient was treated conservatively for his acute symptoms that included pleural tap also. Finally, endoscopic retrograde cholangiopancreatography was done and minor papilla papillotomy was performed and a stent was placed. Knowledge about such cases would help one to be aware of such a rare but dangerous complication, so that timely and correct diagnosis and management can be undertaken.<\/jats:p>","DOI":"10.1136\/bcr-03-2012-6038","type":"journal-article","created":{"date-parts":[[2012,8,9]],"date-time":"2012-08-09T13:08:04Z","timestamp":1344517684000},"page":"bcr0320126038","source":"Crossref","is-referenced-by-count":6,"title":["Pancreaticopleural fistula complicating chronic pancreatitis"],"prefix":"10.1136","volume":"2012","author":[{"given":"Dharita","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditi Bhagirath","family":"Desai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Salvi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,8,9]]},"reference":[{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1155\/1992\/90415","article-title":"A review of pancreatico-pleural fistula in pancreatitis and its management","volume":"5","author":"Burgess","year":"1991","journal-title":"HPB Surg"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.3.912"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.3","first-page":"1152","article-title":"Pancreaticopleural fistula: endoscopic retrograde cholangiopancreaticography & computerized tomography","volume":"142","author":"Carthy","year":"1984","journal-title":"AJR"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.03.024"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.5","first-page":"185","article-title":"Pancreaticopleural fistula: a rare complication of ERCP-induced pancreatitis","volume":"78","author":"Sut","year":"2009","journal-title":"Ulster Med J"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.6","first-page":"152","article-title":"Non-surgical management of pancreaticopleural fistula","volume":"6","author":"Dhebri","year":"2005","journal-title":"JPancreas"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.7","first-page":"671","article-title":"Pancreaticopleural fistula: an unusual complication of pancreatitis diagnosed with magnetic resonance cholangiopancreatography","volume":"10","author":"Vyas","year":"2009","journal-title":"JPancreas"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70422-6"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.9","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1148\/radiology.197.1.7568807","article-title":"Bile duct obstruction and choledocholithiasis: diagnosis with MR cholangiography","volume":"197","author":"Guibaud","year":"1995","journal-title":"Radiology"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.10","unstructured":"Pokharna RK Mathur BB Pal M . Management of pancreatic-pleural fistula by endoscopic pancreatic stenting. Bikaner, Rajasthan, India: S.P. Medical College."},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.11","first-page":"387","article-title":"Pancreatic pleural effusion: case report and review of 113 cases in Japan","volume":"87","author":"Uchiyama","year":"1992","journal-title":"Am J Gastroenterol"},{"key":"2025042702513010000_2012.aug07_1.bcr0320126038.12","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1097\/00005792-199011000-00002","article-title":"Pancreaticopleural fistula: report of 7 patients and review of the literature","volume":"69","author":"Rockey","year":"1990","journal-title":"Medicine"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-03-2012-6038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:51:40Z","timestamp":1745747500000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-03-2012-6038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,9]]},"references-count":12,"alternative-id":["10.1136\/bcr-03-2012-6038"],"URL":"https:\/\/doi.org\/10.1136\/bcr-03-2012-6038","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,8,9]]}}}