Relapsing Pancreatitis with Recurrent Pericardial and Pleural Effusions
Authors: CARL E. MITCHELL
Journal: Annals of Internal Medicine (1964)

Case Studies1 June 1964Relapsing Pancreatitis with Recurrent Pericardial and Pleural EffusionsA Case Report and Review of the LiteratureCARL E. MITCHELL, M.D.CARL E. MITCHELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-6-1047 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptApatient With alcoholism and recurrent pancreatitis developed recurrent pericardial effusions with elevated pericardial fluid amylase titers, cardiac tamponade, recurrent hemorrhagic right and left pleural effusions with elevated pleural fluid amylase and lipase titers, constricting pleuritis, chest wall effusions, and eosinophilia. The evidence suggests that all these findings were secondary to his pancreatitis, and that no other disease process was present. No case has been previously reported of pericardial effusion with elevated pericardial fluid amylase titers nor of recurrent pleural effusions with elevated pleural fluid amylase titers due to pancreatitis.CASE HISTORYL. D., a 28-year-old Negro male house painter, was...References1. SAUNDERSLANZKOWSKY SFP: Haemorrhagic pleural effusion in acute pancreatitis. S. Afr. Med. J. 30: 1069, 1956. MedlineGoogle Scholar2. BECK D: Acute pancreatitis. J. Mount Sinai Hosp. NY 4: 895, 1938. Google Scholar3. HAMMARSTENHONSKALIMES AFWBF: Pleural fluid amylase in pancreatitis and other disease. Amer. Rev. Tuberc. 79: 606, 1959. CrossrefGoogle Scholar4. COFFEY RF: Unusual features of acute pancreatitic disease. Ann. Surg. 135: 715, 1952. CrossrefMedlineGoogle Scholar5. KALSERROTHBOCKUS MHJLHL: Relapsing pancreatitis with pseudocyst of pancreas and enzyme containing pleural effusions. Gastroenterology 28: 842, 1955. CrossrefMedlineGoogle Scholar6. 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POPPER HL: Enzyme studies in edema of pancreas and acute pancreatitis. Surgery 7: 566, 1940. Google Scholar37. STEINPOWERSBROWNE AASRHH: Experimental hemorrhagic pancreatitis: new concepts of pathogenesis. Ann. Surg. 143: 508, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: CARL E. MITCHELL, M.D.Affiliations: St. Louis, MissouriFrom St. Louis City Hospital, Washington University Medical Service, St. Louis, Missouri.Requests for reprints should be addressed to Carl E. Mitchell, M.D., Vanderbilt University Hospital, Nashville 5, Tennessee. 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