Pancreaticopleural fistula - A rare complication of pancreatitis

Authors

  • MU Leel
  • H Ismail
  • A Abdalla
  • L Neilan
  • R Stack
  • J Hynes

Abstract

Presentation
A rare case of pancreaticopleural fistula in a 53-year-old female patient who presented with unsteady gait and shortness of breath on the background of chronic pancreatitis.

Diagnosis and Treatment
Diagnosis was confirmed through MRI, MRCP, and analysis of pleural fluid obtained via thoracentesis.

Discussion
This case highlights a rare complication of acute pancreatitis that requires a high index of clinical suspicion for timely diagnosis. Pancreaticopleural fistulas should be considered an important differential diagnosis for pleural effusions, particularly in patients with chronic pancreatitis. Optimal management involves a multidisciplinary team, including gastroenterologists, surgeons, radiologists, and dieticians.

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Published

2026-02-19

How to Cite

Leel, M., Ismail, H., Abdalla, A., Neilan, L., Stack, R., & Hynes, J. (2026). Pancreaticopleural fistula - A rare complication of pancreatitis. Irish Medical Journal, 119(2), 31. Retrieved from https://imj.ie/index.php/imj/article/view/305

Issue

Section

Case Reports