Mustafa Ateequr Rahman

Almana general Hospital, Alkhobar, Saudi Arabia

Title: Traumatic Pancreaticoplueral Fistula

Biography

Mustafa Mohammad Ateequr Rahman is a Cardiothoracic surgeon working in Almana General Hospital, Al Khobar, Kingdom of Saudi Arabia with more than 6 years of experience in performing Adult and Paediatric Cardiac surgeries along with Thoracic surgeries. He received a Bachelor’s degree in Medicine (M.B.,B.S.) from Kakatiya Medical College, Warangal under the Dr. NTR University of Health Sciences , Vijayawada, India in 2009 and Diplomate of National Board (D.N.B.)  in Cardiothoracic Surgery from the National board of Examinations ,New Delhi, India in 2018. His interests include History of Cardiac surgery, beating heart surgery, aortic dissection, mitral valve repair, minimally invasive cardiac surgery and Cardiothoracic Trauma.

Abstract

Pancreatico-pleural fistula (PPF) is a rare complication and it accounts for a small percentage of cases of pleural effusion. It is a complication of acute or chronic pancreatitis and may also occur following pancreatic resections and percutaneous drainage for pseudocyst (iatrogenic). Traumatic PPF is an even rarer entity and we present a case of a 39 year old male patient with no comorbidities who presented with history of fall from a height. He complained of dyspnea, vague right sided chest and abdominal pain. Chest X ray showed massive right sided pleural effusion and since there was no improvement after insertion of intercostal drain he was taken up for thoracotomy and decortication. The postoperative period was uneventful and when the drainage subsided the tubes were removed and he was discharged home. He presented to the ER after a week again complaining of shortness of breath and on evaluation he was found to have developed right sided pleural effusion again and intercostal drain was inserted. Pleural fluid analysis showed high amylase content. PPF was diagnosed after ERCP. This case is very unusual because of two reasons. Firstly PPF following trauma is not known to occur commonly. Secondly PPF presents with left sided plueral effusion in upto two thirds of cases.