NDLI: Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hande, Manjunath Acharya, Vasudev Dasari, Sowjanya Naha, Kushal Vivek, G.
Description	Author Affiliation: Naha K ( Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.)
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.
e-ISSN	1757790X
Journal	BMJ Case Reports
Volume Number	2013
Language	English
Publisher	BMJ Publishing Group Ltd.
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Pancreatitis, Chronic Complications Pleural Effusion Etiology Abdominal Pain Diagnosis, Differential Diagnosis Tomography, X-Ray Computed Multidisciplinary
Content Type	Text
Resource Type	Article

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Primary presentation of chronic calcific pancreatitis with massive unilateral pleural effusion.