STUDY OF PLEURAL EFFUSIONS OF PANCREATIC AETIOLOGY IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 47
Abstract
BACKGROUND We have studied seven cases of Pleural effusion of pancreatic aetiology from 2015 to 2017. Aim of the Study- Alcoholism is increasing in our society and so are the pancreatic problems. Pleural effusions of pancreatic aetiology are also increasing in clinical practice. We intended to study the clinical presentation, alcoholic history and investigated the patients. MATERIALS AND METHODS Among cases of Pleural effusion admitted in Pulmonology and referred from Surgery Department for pulmonology consultation, we have identified and studied cases of pleural effusion of pancreatic aetiology. The diagnosis was confirmed by clinical examination, Ultrasonography of abdomen, CT examination in selective cases apart from routine haematology and biochemistry. Serum and Pleural fluid amylase and lipase, serum calcium and electrolytes. RESULTS All the seven patients are males. Age ranged from 29 to 54 years. All the seven patients gave alcoholic history ranging from 8 years to 30 years. Four patients presented with acute pancreatitis and three patients presented with chronic pancreatitis. Cough, epigastric pain and shortness of breath were symptoms. Two patients presented with right-sided effusions and two patients with left-sided effusions. Three patients had bilateral effusions. Only one patient had multiple gall stones. Only one patient had massive pleural fluid of amber coloured. Rest of the patients had straw coloured pleural fluid ranging from 400 mL to 1 litre. Leukocytosis was common with polymorphonuclear leukocytosis. All the patients showed elevation of serum and pleural fluid amylase. All but two patients showed increased pleural fluid amylase compared to serum amylase. All of them were stabilised and referred to Gastroenterology units. CONCLUSION Pleural effusion of pancreatic aetiology is not uncommon. All of our patients are males and alcoholics. A high degree of suspicion is needed, as the patients have more of abdominal symptoms. Serum and pleural fluid amylase and lipase are diagnostic. Treatment is conservative and ERCP and surgical approach may be needed in selected patients.
Authors and Affiliations
Ramakrishna Rachakonda, Kalyankumar P. V, Venu M
Keywords
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- EP ID EP217724
- DOI 10.14260/Jemds/2017/789
- Views 92
- Downloads 0
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