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Pancreaticopleural Fistula: An Unusual Complication of Pancreatitis Diagnosed with Magnetic Resonance Cholangiopancreatography

Context Pancreaticopleural fistula is a rare complication of pancreatitis. Pleural effusion resulting from a pancreaticopleural fistula is extremely rare and accounts for less than 1% of cases. Due to non-specific clinical presentations of a pancreaticopleural fistula, imaging plays an important role. Magnetic resonance cholangiopancreatography (MRCP) is very useful in depicting parenchymal and ductal structural changes along with direct visualization of a pancreaticopleural fistula. Case report We present the case of a middle-aged male with moderate right pleural effusion who had a history of pancreatitis. MRCP showed chronic pancreatitis with a pancreaticopleural fistula. A brief review of the role of imaging in a pancreaticopleural fistula is discussed along with the case. Conclusion MRCP is a useful modality for diagnosing a pancreaticopleural fistula.


Thakur Deen Yadav, Sameer Vyas, Dhrubajyoti Gogoi, Saroj Kant Sinha, Paramjeet Singh, Niranjan Khandelwal

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