{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:45:24Z","timestamp":1777671924502,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Chronic pancreatitis presents with epigastric abdominal pain, nausea, vomiting, and weight loss. Acute pancreatitis can also present with a pleural effusion which is typically left-sided, mild in nature, and self-limiting. However, recurrent bouts of pancreatitis may lead to a pancreaticopleural fistula (PPF) with a large, rapidly recurring, unilateral pleural effusion. Among patients with PPF, the most common presenting complaint is dyspnea. We present the case of a 53-year-old man with recurrent bouts of pancreatitis in the setting of alcohol who presented with progressively worsening shortness of breath. A high-resolution computed topography scan of the thorax demonstrated a large right-sided pleural effusion. A thoracentesis was performed with pleural fluid studies showing an exudative effusion with amylase significantly elevated at 18 382 U\/L. An endoscopic retrograde cholangiopancreatography was performed which showed a pancreatic duct leak in the tail of the pancreas. A pancreatic sphincterotomy was performed, and a stent was placed into the ventral pancreatic duct. The patient\u2019s shortness of breath improved, and he was discharged home with outpatient follow-up. The aim of this report is to present the diagnosis of a rare complication of chronic pancreatitis and discuss the management and options for treatment.<\/jats:p>","DOI":"10.1177\/23247096221099269","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T15:20:35Z","timestamp":1653060035000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapidly Accumulating Pleural Effusion: A Sequela of Chronic Pancreatitis"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-5083","authenticated-orcid":false,"given":"Michael","family":"Sandhu","sequence":"first","affiliation":[{"name":"SUNY Upstate Medical University, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4457-8165","authenticated-orcid":false,"given":"Michelle","family":"Bernshteyn","sequence":"additional","affiliation":[{"name":"SUNY Upstate Medical University, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanchari","family":"Banerjee","sequence":"additional","affiliation":[{"name":"SUNY Upstate Medical University, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Kuhn","sequence":"additional","affiliation":[{"name":"SUNY Upstate Medical University, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"bibr1-23247096221099269","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2013071"},{"issue":"1","key":"bibr2-23247096221099269","first-page":"90","volume":"16","author":"Aswani Y","year":"2015","journal-title":"JOP"},{"key":"bibr3-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-199806000-00017"},{"key":"bibr4-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70422-6"},{"key":"bibr5-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.03.024"},{"key":"bibr6-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e3181870ad5"},{"key":"bibr7-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199011000-00002"},{"issue":"2","key":"bibr8-23247096221099269","first-page":"56","volume":"76","author":"Wypych K","year":"2011","journal-title":"Pol J Radiol"},{"key":"bibr9-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1590\/0102-6720201700030014"},{"key":"bibr10-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-001-0144-2"},{"key":"bibr11-23247096221099269","doi-asserted-by":"publisher","DOI":"10.1590\/0102-6720201700030014"},{"key":"bibr12-23247096221099269","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i42.4696"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096221099269","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096221099269","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096221099269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:02:49Z","timestamp":1777449769000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096221099269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":12,"alternative-id":["10.1177\/23247096221099269"],"URL":"https:\/\/doi.org\/10.1177\/23247096221099269","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"23247096221099269"}}