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Pancreaticopleural Fistula Complicating Pancreatitis

Pancreaticopleural Fistula Complicating Pancreatitis▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

CT of the abdomen shows large intrapancreatic and extrapancreatic fluid collections consistent with severe pancreatitis. A subsequent chest radiograph reveals a newly developed large left pleural effusion. Drainage yielded pancreatic-appearing fluid.

Key takeaways

Pancreaticopleural fistula is a recognized complication of severe pancreatitis, leading to large pleural effusions, often appearing rapidly. This diagnosis is supported by the clinical context and characteristic fluid.

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