Article
Medicine, General & Internal
Antony J. Arumairaj, Fidencio Davalos, Hussein Matari, Abayomi O. Bamgboje, Imnett Habtes
Summary: Acute pancreatitis can cause pleural effusion, typically unilateral and transudative with a straw-colored appearance, and it usually resolves spontaneously. We present a rare case of massive left-sided black pleural effusion as a complication of acute pancreatitis in a patient with a history of chronic pancreatitis due to alcohol abuse. The pleural effusion led to hypoxic respiratory failure. However, after drainage of the pleural effusion and appropriate treatment with broad-spectrum antibiotics, the patient showed significant improvement and recovery without the need for endoscopic therapy or surgical intervention.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Review
Medicine, General & Internal
Zohaib Yousaf, Fateen Ata, Haseeb Chaudhary, Florian Krause, Ben Min-Woo Illigens, Timo Siepmann
Summary: Black pleural effusion is a rare condition associated with modifiable risk factors such as smoking and alcohol intake, as well as malignancy. Therapeutic thoracocentesis is the common intervention, but recurrence may occur.
Article
Orthopedics
Bin Zhu, Lanpu Shang, Xiao Han, Xingchen Li, Hongchen Wang, Peiming Sang, Chaoliang Lv, Jian Li, Xiaoguang Liu
Summary: This study retrospectively analyzed the clinical characteristics and surgical strategies of symptomatic pseudocysts (PPs) requiring revision surgery after full-endoscopic lumbar discectomy (FELD). The results showed that the progressively severe pain experienced by patients may be due to the enlargement or migration of the PP to the lateral recess and foraminal zones. Complete removal of the capsule using FELD is recommended.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Respiratory System
Isana Katayama, Arisa Komatsu, Takayasu Watanabe, Daisuke Hayakawa, Naoko Iwakami, Takuya Genda, Shin-ichiro Iwakami, Kazuhisa Takahashi
Summary: Mediastinal pancreatic pseudocysts are rare complications of alcohol-induced pancreatitis. We present a case of a 61-year-old Japanese woman who had a mediastinal pancreatic pseudocyst. The patient presented with epigastric pain and dyspnea, and imaging studies revealed the presence of a fluid-filled encapsulated cyst extending from the pancreas to the mediastinum. This case highlights the importance of considering mediastinal pancreatic pseudocysts in patients with black pleural fluid and elevated amylase levels.
RESPIROLOGY CASE REPORTS
(2023)
Article
Gastroenterology & Hepatology
Antonio Facciorusso, Arnaldo Amato, Stefano Francesco Crino, Emanuele Sinagra, Marcello Maida, Alessandro Fugazza, Cecilia Binda, Alessandro Repici, Ilaria Tarantino, Andrea Anderloni, Carlo Fabbri
Summary: This study aimed to develop a prognostic model for adverse events (AE) after lumen-apposing metal stents (LAMS) placement in patients with pancreatic fluid collections (PFC). Through data collection and analysis, it was found that AE occurrence in PFC patients was associated with factors such as injury to the main pancreatic duct, abnormal vessels, surgical technique, and the need for preprocedural drainage. A nomogram was used to predict the probability of AE occurrence, and the model showed good discrimination and was validated internally.
DIGESTIVE ENDOSCOPY
(2022)
Article
Medicine, General & Internal
Joseph Newman, Tejas Ingle, She Lok, Liana Pradan
Summary: A case of black pleural fluid following thoracic trauma was presented, which was found to be caused by staining of the fluid with carbon deposited in the pleural space from smoking crack cocaine. A novel use of a point-of-care urine toxicology assay confirmed the presence of cocaine in the pleural fluid, highlighting the importance of considering a broad range of differential diagnoses.
Article
Medicine, General & Internal
Jun Ye, Lan Wang, Shan Lu, Dujiang Yang, Weiming Hu, Huimin Lu, Yi Zhang
Summary: The study compared the efficacy of cystogastrostomy and Roux-en-Y-type cystojejunostomy in treating pancreatic pseudocyst, finding no significant differences in cure rate, reoperation rate, and mortality between the two methods. However, cystogastrostomy had shorter operation time, less intraoperative bleeding, and lower cost compared to Roux-en-Y-type cystojejunostomy.
Article
Medicine, General & Internal
Saad Bin Jamil, Syed Hassan Abbas, Mehrunissa Kazim, Iqra Patoli
Summary: This case report presents a rare complication of chronic pancreatitis, pancreaticopleural fistula. The patient was diagnosed through chest fluid analysis, imaging, and other examinations. Prompt treatment, including thoracentesis, alleviated the patient's symptoms. This study highlights the importance of early diagnosis and management in preventing long-term complications and mortality.
AMERICAN JOURNAL OF CASE REPORTS
(2022)
Article
Medicine, General & Internal
Arkadeep Dhali, Sukanta Ray, Tuhin Subhra Mandal, Somak Das, Avik Sarkar, Sujan Khamrui, Gopal Krishna Dhali
Summary: This study retrospectively reports the experience of surgical intervention for pancreatic ascites and pancreatic pleural effusions caused by chronic pancreatitis. The results show that in experienced hands, surgery can be performed with acceptable perioperative morbidity and mortality and long-term satisfactory outcomes.
ANNALS OF MEDICINE AND SURGERY
(2022)
Review
Medical Laboratory Technology
Wen Zhao, Xi-Shan Cao, Yu-Ling Han, Xu-Hui Wen, Wen-Qi Zheng, Zhi-De Hu
Summary: Pleural effusion is a common symptom of various disorders, and the current diagnostic tools have limitations. Cell-free nucleic acids in pleural fluid may serve as potential diagnostic markers, as they are non-invasive, cost-effective, and objective.
CLINICAL CHEMISTRY AND LABORATORY MEDICINE
(2022)
Article
Medicine, General & Internal
Keiki Miyadera, Kakeru Hisakane, Yuki Kato, Kenichiro Atsumi, Hiroki Ono, Shu Tanaka, Kaoru Kubota, Masahiro Seike, Akihiko Gemma, Takashi Hirose
Summary: This report presents a case of black pleural effusion caused by a pancreaticopleural fistula associated with autoimmune pancreatitis. The characteristic appearance of black pleural effusion may assist diagnosis.
Article
Critical Care Medicine
Rachelle Asciak, Nikolaos I. Kanellakis, Anna Bibby, Andrew Kidd, Stephen Gerry, Rachel Mercer, Nick Maskell, Kevin G. Blyth, Peter Fsadni, Stephen Montefort, Ioannis Psallidas, Najib M. Rahman
Summary: This study investigated the association between pleural fluid exposure and survival in patients with malignant pleural mesothelioma. The findings suggest that successful pleurodesis may be associated with improved survival, but the relationship between MPM exposure duration to pleural fluid and survival remains unclear within the limitations of this retrospective study. Future prospective studies are needed to further evaluate this potentially important mechanism.
Review
Biology
Sean P. F. Foley, John Scott Parrish
Summary: Pleural space infections have been a well-recognized clinical syndrome for over 4000 years and continue to cause significant morbidity and mortality worldwide. Our understanding of the causative pathophysiology has greatly expanded over the last few decades, as have our treatment options. This paper aims to review recent updates in our understanding of pleural space infections and provide updates on treatment modalities.
Article
Oncology
Eiji Takeuchi, Yoshio Okano, Hisanori Machida, Katsuhiro Atagi, Yoshihiro Kondou, Naoki Kadota, Nobuo Hatakeyama, Keishi Naruse, Tsutomu Shinohara
Summary: This study retrospectively analyzed lung cancer patients with malignant pleural effusion (MPE) and found that those with eosinophilic pleural effusion (EPE) had a better prognosis than those without EPE. Factors such as EPE, Eastern Cooperative Oncology Group (ECOG) Performance Status, sex, and the neutrophil-to-lymphocyte ratio in the serum were identified as independent prognostic factors affecting survival.
CANCER IMMUNOLOGY IMMUNOTHERAPY
(2022)
Article
Biotechnology & Applied Microbiology
Qian Xu, Juanjuan Tian, Lin Huang, Qilin Zhong, Yulin Xu, Linlin Liu, Jian Shi
Summary: Invasion of the pleural membrane by a malignant tumor can lead to the production of malignant pleural effusion, causing symptoms such as dyspnea and cough, which can be easily confused with pneumonia. It is important to conduct examinations for malignant tumors in patients with unexplained symptoms of bloody pleural effusion. This includes thoracentesis and drainage, examination of malignant cells in the fluid, pleural biopsy tissue examination, and determination of the type and source of lung malignancy. Treatment options may include surgery or immunotherapy.
ONCOTARGETS AND THERAPY
(2022)