{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:35Z","timestamp":1745812895026,"version":"3.40.4"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,1]]},"abstract":"<jats:p>A 41-year-old man with a medical history of chronic back pain, seizure disorder, alcohol and tobacco abuse presented with acute shortness of breath. Chest X-ray showed a large right-sided pleural effusion. Pleural fluid analysis was significant for an elevated amylase level, suggestive of pleural effusion secondary to pancreatitis. Magnetic resonance cholangiopancreatography (MRCP) revealed a persistent right-sided pleural effusion in connection with a right pararenal space fluid collection via a Bochdalek hernia. An endoscopic ultrasound found hyperechoic strands and foci, and pancreatic parenchyma consistent with chronic pancreatitis, as well as a pseudocyst in the pancreatic head. A chest tube was ultimately placed to continuously drain the pleural effusion. The patient was discharged and was referred to gastroenterology for outpatient follow-up. This case illustrates a rare presentation of chronic pancreatitis with a Bochdalek hernia as a right-sided pleural effusion in a patient who was previously asymptomatic.<\/jats:p>","DOI":"10.1136\/bcr-2018-224674","type":"journal-article","created":{"date-parts":[[2018,5,26]],"date-time":"2018-05-26T12:28:59Z","timestamp":1527337739000},"page":"bcr-2018-224674","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic pancreatitis with Bochdalek hernia causing right-sided pleural effusion in a previously asymptomatic adult"],"prefix":"10.1136","volume":"2018","author":[{"given":"Ho-Man","family":"Yeung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Kumala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Stanek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7679-7699","authenticated-orcid":false,"given":"Xiaoying","family":"Deng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,5,26]]},"reference":[{"key":"2025042703425585000_2018.may25_1.bcr-2018-224674.1","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"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.2","DOI":"10.1378\/chest.117.3.912"},{"key":"2025042703425585000_2018.may25_1.bcr-2018-224674.3","doi-asserted-by":"crossref","first-page":"9291","DOI":"10.1186\/1752-1947-3-9291","article-title":"Right-sided Bochdalek hernia in an adult: a case report","volume":"3","author":"Laaksonen","year":"2009","journal-title":"J Med Case Rep"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.4","DOI":"10.1097\/00004728-199903000-00004"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.5","DOI":"10.1016\/S0016-5107(00)70422-6"},{"key":"2025042703425585000_2018.may25_1.bcr-2018-224674.6","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s10620-006-3073-7","article-title":"Pancreaticopleural fistula: report of two cases and review of the literature","volume":"51","author":"Oh","year":"2006","journal-title":"Dig Dis Sci"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.7","DOI":"10.1097\/00005792-199011000-00002"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.8","DOI":"10.4293\/108680810X12785289144719"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.9","DOI":"10.1007\/s10029-007-0188-5"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.10","DOI":"10.1136\/bcr-2013-009198"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.11","DOI":"10.1097\/00000658-197611000-00009"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.12","DOI":"10.1016\/0002-9610(92)90104-Y"},{"doi-asserted-by":"publisher","key":"2025042703425585000_2018.may25_1.bcr-2018-224674.13","DOI":"10.1136\/bcr-03-2012-6038"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:43:02Z","timestamp":1745750582000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,26]]},"references-count":13,"alternative-id":["10.1136\/bcr-2018-224674"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224674","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,5,26]]}}}