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Case ReportOpen Access
Chronic Pancreatitis Presenting with Right Pleural Effusion: A Case Report
Reechaipichitkul W 
,
Bowornkitiwong T ,
Utchariyaprasit E
,
Bowornkitiwong T ,
Utchariyaprasit E The authors present a case of right pleural effusion complicated by chronic pancreatitis. The patient
was a 33-year-old man, who had progressive dyspnea with massive right pleural effusion for 2 months. He
suffered significant weight loss of 10 kilograms but had no fever. Previously, he had a history of excessive
alcohol consumption and chronic epigastrium pain for 2 year. At first, he was treated as tuberculous pleural
effusion according to exudative lymphocytic pleural effusion. Diagnosis was delayed because of no abdominal
symptoms at the time of admission. Chronic pancreatic pleural effusion was later diagnosed by calcified
pancreas and suspected pseudocyst on CT chest included upper abdomen in addition with high pleural fluid
amylase. ERCP was done followed by an operation. After operative procedure of pancreatic stone removal
and sump drainage, serum amylase decreased and right intercostal drainage could be removed. The overall
clinical presentation was improved and he was advised to stop drinking alcohol.
Keywords: Pancreatitis, Pancreatic pleural effusion, Pancreaticopleural fistula
was a 33-year-old man, who had progressive dyspnea with massive right pleural effusion for 2 months. He
suffered significant weight loss of 10 kilograms but had no fever. Previously, he had a history of excessive
alcohol consumption and chronic epigastrium pain for 2 year. At first, he was treated as tuberculous pleural
effusion according to exudative lymphocytic pleural effusion. Diagnosis was delayed because of no abdominal
symptoms at the time of admission. Chronic pancreatic pleural effusion was later diagnosed by calcified
pancreas and suspected pseudocyst on CT chest included upper abdomen in addition with high pleural fluid
amylase. ERCP was done followed by an operation. After operative procedure of pancreatic stone removal
and sump drainage, serum amylase decreased and right intercostal drainage could be removed. The overall
clinical presentation was improved and he was advised to stop drinking alcohol.
Keywords: Pancreatitis, Pancreatic pleural effusion, Pancreaticopleural fistula
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