Rare case of high amylase pleural effusion without pancreatitis, oesophageal rupture or malignancy.

Autor:	Baishya N; Pulmonary, Critical care and Sleep medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India nyrvanab@gmail.com., Dua R; Pulmonary, Critical care and Sleep medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India., Singh R; Pulmonary, Critical care and Sleep medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India., Padmanabhan AK; Pulmonary, Critical care and Sleep medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2022 Nov 07; Vol. 15 (11). Date of Electronic Publication: 2022 Nov 07.
DOI:	10.1136/bcr-2022-251160
Abstrakt:	High amylase pleural effusion remains an entity which includes a wide variety of differentials, with pancreatitis, oesophageal rupture or malignant pleural effusion being most commonly encountered in clinical practice. Keeping the clinical picture (suggestive of pain in abdomen preceding any respiratory complaints) and differentials at hand, the case was evaluated with contrast-enhanced CT of the thorax and abdomen which revealed normal pancreatic architecture and no abnormal communication was noted between the pancreas and pleural space. A contrast oesophagogram, done when pancreatitis was ruled out, showed no evidence of any leak. The patient underwent upper gastrointestinal endoscopy which was suggestive of an ulcer with fistulous communication with the pleural space. Following nasojejunal feeding and clipping of the fistulous tract the patient's symptoms improved. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu