Natural History and Endoscopic Management of Pancreaticopleural Fistula: A Tertiary Care Center Experience

Abstract

Background Pancreaticopleural fistula (PPF) is a rare complication associated with pancreatitis, caused by disruption of the pancreatic duct, either directly or through rupture of a peripancreatic fluid collection, resulting in leakage of pancreatic juice into the pleural space. It commonly presents as massive, relapsing pleural effusions, often on the left side with high amylase content. Nonspecific chest symptoms often predominate, making it a diagnostic challenge. There is a lack of clarity regarding the management of this rare entity.

Keywords

• pancreaticopleural fistula
• pancreatitis
• pleural effusion
• endoscopic retrograde cholangiopancreatography