Bridging the Divisum: A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically

Rachel Peterson; Samiran Mukherjee; Prateek Suresh Harne; Sahir Quraeshi; Anuj Vikrant Sharma; Umair Masood; Divey Manocha

doi:10.1177/2324709620965335

Bridging the Divisum: A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically

Rachel Peterson, Samiran Mukherjee, Prateek Suresh Harne, Sahir Quraeshi, Anuj Vikrant Sharma, Umair Masood, Divey Manocha

Research output: Contribution to journal › Article › peer-review

Abstract

A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis that occurs either due to a pancreatic duct disruption or a pseudocyst extension. A pancreatic divisum, on the other hand, is a common anatomic variant of the pancreas that is rarely symptomatic. We describe a case of recurrent pleural effusion in a patient with a history of chronic pancreatitis. Investigations revealed the presence of a PPF and a concomitant complete pancreatic divisum. There was resolution of the pleural effusion on endoscopic therapy. This is the fourth reported case of a PPF in the setting of complete pancreatic divisum and the first reported case in a middle-aged female.

Original language	English (US)
Journal	Journal of Investigative Medicine High Impact Case Reports
Volume	8
DOIs	https://doi.org/10.1177/2324709620965335
State	Published - 2020
Externally published	Yes

Keywords

biliary tract
endoscopy
pancreas
pancreatic divisum

ASJC Scopus subject areas

Epidemiology
Safety, Risk, Reliability and Quality
Safety Research

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10.1177/2324709620965335

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title = "Bridging the Divisum: A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically",

abstract = "A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis that occurs either due to a pancreatic duct disruption or a pseudocyst extension. A pancreatic divisum, on the other hand, is a common anatomic variant of the pancreas that is rarely symptomatic. We describe a case of recurrent pleural effusion in a patient with a history of chronic pancreatitis. Investigations revealed the presence of a PPF and a concomitant complete pancreatic divisum. There was resolution of the pleural effusion on endoscopic therapy. This is the fourth reported case of a PPF in the setting of complete pancreatic divisum and the first reported case in a middle-aged female.",

keywords = "biliary tract, endoscopy, pancreas, pancreatic divisum",

author = "Rachel Peterson and Samiran Mukherjee and Harne, {Prateek Suresh} and Sahir Quraeshi and Sharma, {Anuj Vikrant} and Umair Masood and Divey Manocha",

note = "Publisher Copyright: {\textcopyright} 2020 American Federation for Medical Research.",

year = "2020",

doi = "10.1177/2324709620965335",

language = "English (US)",

volume = "8",

journal = "Journal of Investigative Medicine High Impact Case Reports",

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TY - JOUR

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T2 - A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically

AU - Peterson, Rachel

AU - Mukherjee, Samiran

AU - Harne, Prateek Suresh

AU - Quraeshi, Sahir

AU - Sharma, Anuj Vikrant

AU - Masood, Umair

AU - Manocha, Divey

PY - 2020

Y1 - 2020

N2 - A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis that occurs either due to a pancreatic duct disruption or a pseudocyst extension. A pancreatic divisum, on the other hand, is a common anatomic variant of the pancreas that is rarely symptomatic. We describe a case of recurrent pleural effusion in a patient with a history of chronic pancreatitis. Investigations revealed the presence of a PPF and a concomitant complete pancreatic divisum. There was resolution of the pleural effusion on endoscopic therapy. This is the fourth reported case of a PPF in the setting of complete pancreatic divisum and the first reported case in a middle-aged female.

AB - A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis that occurs either due to a pancreatic duct disruption or a pseudocyst extension. A pancreatic divisum, on the other hand, is a common anatomic variant of the pancreas that is rarely symptomatic. We describe a case of recurrent pleural effusion in a patient with a history of chronic pancreatitis. Investigations revealed the presence of a PPF and a concomitant complete pancreatic divisum. There was resolution of the pleural effusion on endoscopic therapy. This is the fourth reported case of a PPF in the setting of complete pancreatic divisum and the first reported case in a middle-aged female.

KW - biliary tract

KW - endoscopy

KW - pancreas

KW - pancreatic divisum

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Bridging the Divisum: A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically

Abstract

Keywords

ASJC Scopus subject areas

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