{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T05:30:01Z","timestamp":1772602201556,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,12]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis, which clinically presents as a pleural effusion and often with an absence of typical abdominal symptoms associated with pancreatic disease.<\/jats:p>\n               <jats:p>We describe a man in his early 50s who presented to the emergency department with pleuritic chest pain and progressive breathlessness with a history of alcohol excess. Chest X-ray demonstrated a bilateral pleural effusion with a dark red amylase-rich exudate on needle aspiration, necessitating a chest drain insertion. CT imaging then highlighted a left-sided PPF. Multiple chest drain insertions were required throughout the patient\u2019s admission due to fluid reaccumulation.<\/jats:p>\n               <jats:p>Endoscopic retrograde cholangiopancreatography (ERCP) was conducted to stent the primary pancreatic duct to prevent fluid leakage\u2014which was unsuccessful, resulting in post-ERCP acute-on-chronic pancreatitis. On recovery, the patient was discharged with a right-sided chest drain (following fluid re-accumulation) with adequate outpatient follow-up\u2014illustrating no further fluid accumulation 6 months later.<\/jats:p>","DOI":"10.1136\/bcr-2024-261933","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T19:06:00Z","timestamp":1733857560000},"page":"e261933","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pancreaticopleural fistula: a rare aetiology of pleural effusion"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1797-0843","authenticated-orcid":false,"given":"Kenan","family":"Kabay","sequence":"first","affiliation":[{"name":"General and Upper Gastrointestinal Surgery, NHS Lanarkshire, Bothwell, South Lanarkshire, UK"},{"name":"University of Glasgow College of Medical Veterinary and Life Sciences, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin","family":"Bryce","sequence":"additional","affiliation":[{"name":"General and Upper Gastrointestinal Surgery, NHS Lanarkshire, Bothwell, South Lanarkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"2025082801463654000_17.12.e261933.1","doi-asserted-by":"crossref","first-page":"815476","DOI":"10.1155\/2012\/815476","article-title":"Pancreaticopleural fistula: revisited","volume":"2012","author":"Machado","year":"2012","journal-title":"Diagn Ther Endosc"},{"key":"2025082801463654000_17.12.e261933.2","first-page":"827","article-title":"Chronic pancreatic pleural effusions","volume":"137","author":"Anderson","year":"1973","journal-title":"Surg Gynecol Obstet"},{"key":"2025082801463654000_17.12.e261933.3","doi-asserted-by":"publisher","DOI":"10.1155\/1992\/90415"},{"key":"2025082801463654000_17.12.e261933.4","article-title":"Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention","volume":"2018","author":"Kord Valeshabad","year":"2018","journal-title":"Case Rep Gastrointest Med"},{"key":"2025082801463654000_17.12.e261933.5","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170420"},{"key":"2025082801463654000_17.12.e261933.6","doi-asserted-by":"crossref","unstructured":"Tay C , Change S . Diagnosis and management of pancreaticopleural fistula. SMedJ 2013;190\u20134. doi:10.11622\/smedj.2013071","DOI":"10.11622\/smedj.2013071"},{"key":"2025082801463654000_17.12.e261933.7","unstructured":"Klochkov A , Kudaravalli P , Lim Y , et al . Alcoholic pancreatitis. In: StatPearls. 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