Journal List > Korean J Pediatr Gastroenterol Nutr > v.8(1) > 1110303

Korean J Pediatr Gastroenterol Nutr. 2005 Mar;8(1):81-86. Korean.
Published online Mar 31, 2005.
Copyright © 2005 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Chronic Pancreatitis with Massive Pleural Effusion
Eun Young Lee, Yo Han Kang, Jae Young Kim, and Sung Won Kim
Department of Pediatrics, St. Benedict Hospital, Busan, Korea.

Massive pancreatic pleural effusion is a rare complication of chronic pancreatitis. It results from leakage of pancreatic secretion into the pleural space through the aortic or esophageal hiatus, either by a pancreatic duct disruption or communicating pseudocyst. The presentation of the pancreatic pleural effusion is often misleading as respiratory rather than abdominal symptoms because of predominance of pulmonary complaints. Markedly elevated amylase level of the pleural fluid is highly suggestive of the diagnosis. We experienced a case of chronic pancreatitis with massive pleural effusion in a 9-year-old female, who presented with a 6-months history of intermittent abdominal pain, and cough and chest pain for 3 days.

Keywords: Pancreatic pleural effusion; Chronic pancreatitis; Child