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Black pleural effusion due to pancreatic pseudocyst: A case report.

Abstract Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390299
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Black pleural effusion due to pancreatic pseudocyst: A case report.
PG  - e9043
LID - 10.1097/MD.0000000000009043 [doi]
AB  - RATIONALE: Black pleural effusion (BPE) is an extremely uncommon type of pleural 
      fluid, which can be due to infection, primary or metastatic malignancy, and
      hemorrhage. As reported in previous studies, BPE is also observed in some
      patients with pancreatic pseudocyst. PATIENT CONCERNS: We herein reported a case 
      of a 14-year-old female patient who was admitted to our center with a history of 
      cough for 1 and a half months and right chest pain for 1 month. Before this, she 
      was consecutively hospitalized in 3 different hospitals due to the same symptoms.
      However, the previous treatments were ineffective due to the lack of a definitive
      diagnosis. Laboratory examination of the pleural effusion showed BPE with a high 
      amylase concentration. Chest x-ray and computed tomography (CT) showed massive
      pleural effusion, more prominent in the right chest. CT and MRCP of the abdomen
      showed a cystic lesion located in the tail of the pancreas, which entered the
      chest cavity via an esophageal hiatal hernia. DIAGNOSES:: pancreatic pseudocyst. 
      INTERVENTIONS: After confirming that the tumor was a pancreatic pseudocyst by
      intraoperative biopsy, internal drainage to the jejunum was performed. OUTCOMES: 
      The postoperative recovery was rapid and without complications, and the final
      discharge diagnosis was idiopathic pancreatic pseudocyst (without history of
      pancreatitis or pancreatic injuries) with BPE of the right chest. LESSONS: This
      case demonstrates that massive BPE could present as a rare complication of
      pancreatic pseudocyst, and surgery is a potential treatment for such patients.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Guo, Feng
AU  - Guo F
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Wu, Junli
AU  - Wu J
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Peng, Yunpeng
AU  - Peng Y
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Tu, Min
AU  - Tu M
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Xiao, Bin
AU  - Xiao B
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Dai, Cuncai
AU  - Dai C
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Jiang, Kuirong
AU  - Jiang K
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Gao, Wentao
AU  - Gao W
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Li, Qiang
AU  - Li Q
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Wei, Jishu
AU  - Wei J
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Chen, Jianmin
AU  - Chen J
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Xi, Chunhua
AU  - Xi C
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Lu, Zipeng
AU  - Lu Z
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
FAU - Miao, Yi
AU  - Miao Y
AD  - Pancreas Center, First Affiliated Hospital.
AD  - Pancreas Institute, Nanjing Medical University, Nanjing, P.R. China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Diagnosis, Differential
MH  - Diagnostic Imaging
MH  - Female
MH  - Humans
MH  - Pancreatic Pseudocyst/*complications/*diagnosis/surgery
MH  - Pleural Effusion/*diagnosis/*etiology/surgery
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009043 [doi]
AID - 00005792-201712150-00049 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9043. doi: 10.1097/MD.0000000000009043.