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Recurrent haemoptysis, left-sided chest pain and an evolving left lower lobe cavity in a 50-year old smoker with prior high ethanol intake

Recurrent haemoptysis, left-sided chest pain and an evolving left lower lobe cavity in a 50-year old smoker with prior high ethanol intake
Recurrent haemoptysis, left-sided chest pain and an evolving left lower lobe cavity in a 50-year old smoker with prior high ethanol intake
The authors describe a case of pancreatico-pleural fistula that presented as recurrent pyogenic chest disease in a patient with underlying ethanol related pancreatic disease. The diagnosis was suspected, given the context of non-resolving chest sepsis despite repeated antibiotics in a patient with known pancreatic disease. Although not revealed by initial tests the diagnosis was confirmed by repeating imaging investigations. The fistula was repaired surgically with consequent resolution of chest disease without need for extensive thoracic surgery.
Alcoholism/complications, Chest Pain/etiology, Hemoptysis/etiology, Humans, Male, Middle Aged, Pancreatic Fistula/complications, Pleural Diseases/complications, Recurrence, Respiratory Tract Fistula/complications, Smoking/adverse effects
1757-790X
Taylor, Matthew
401d0730-580a-4b30-9232-1cfbf9e26d60
Butler, Claire
80e5d79b-ed0a-40af-a9ff-5cc06f30bd91
Lekkas, Anastasios
7c768de3-0ff2-477a-8058-b12c8f1c6f77
Kurukulaaratchy, Ramesh J
9c7b8105-2892-49f2-8775-54d4961e3e74
Taylor, Matthew
401d0730-580a-4b30-9232-1cfbf9e26d60
Butler, Claire
80e5d79b-ed0a-40af-a9ff-5cc06f30bd91
Lekkas, Anastasios
7c768de3-0ff2-477a-8058-b12c8f1c6f77
Kurukulaaratchy, Ramesh J
9c7b8105-2892-49f2-8775-54d4961e3e74

Taylor, Matthew, Butler, Claire, Lekkas, Anastasios and Kurukulaaratchy, Ramesh J (2011) Recurrent haemoptysis, left-sided chest pain and an evolving left lower lobe cavity in a 50-year old smoker with prior high ethanol intake. BMJ Case Reports, 2011. (doi:10.1136/bcr.09.2011.4884).

Record type: Article

Abstract

The authors describe a case of pancreatico-pleural fistula that presented as recurrent pyogenic chest disease in a patient with underlying ethanol related pancreatic disease. The diagnosis was suspected, given the context of non-resolving chest sepsis despite repeated antibiotics in a patient with known pancreatic disease. Although not revealed by initial tests the diagnosis was confirmed by repeating imaging investigations. The fistula was repaired surgically with consequent resolution of chest disease without need for extensive thoracic surgery.

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More information

Published date: 22 December 2011
Keywords: Alcoholism/complications, Chest Pain/etiology, Hemoptysis/etiology, Humans, Male, Middle Aged, Pancreatic Fistula/complications, Pleural Diseases/complications, Recurrence, Respiratory Tract Fistula/complications, Smoking/adverse effects

Identifiers

Local EPrints ID: 446539
URI: http://eprints.soton.ac.uk/id/eprint/446539
ISSN: 1757-790X
PURE UUID: 57814190-53ea-4d0a-9176-e0fd3d1a42b5
ORCID for Ramesh J Kurukulaaratchy: ORCID iD orcid.org/0000-0002-1588-2400

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Date deposited: 12 Feb 2021 17:32
Last modified: 17 Mar 2024 02:49

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Contributors

Author: Matthew Taylor
Author: Claire Butler
Author: Anastasios Lekkas

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