Presentation
Complaining of dyspnea, breathlessness, chest pain towards left for 2 weeks.
Patient Data
Gross left-sided pleural effusion is seen with near complete collapse of the ipsilateral lung.
A linear hypodense fistulous tract is seen extending from the pancreatic duct, coursing upwards through the left diaphragm and communication with the pleural fluid suggestive of a pancreaticopleural fistula.
Case Discussion
Pancreaticopleural fistula develops as a complication of pancreatitis, of which this patient had a history. If the patient with a known history of alcoholism and pancreatitis, comes with respiratory symptoms of effusion, the possibility of pancreaticopleural fistula should be considered. CT and MRI play a very important role in delineating the fistulous tract.
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