Muhammad Musadaq, Asif Ali Amir Ali, Mazhar Iqbal, Ayesha Mehboob, Agha Afaque Hussain, Sughra Perveen.
Left Pleural Effusion as a Sign of Acute Necrotizing Pancreatitis.
J Surg Pak Jan ;25(2):65-8.

Objective: To find out the frequency of left pleural effusion in acute necrotizing pancreatitis Study design: Case series Place & Duration of study: Surgical Unit 1, Jinnah Postgraduate Medical Center Karachi, from April 2017 to April 2020. Methodology: Patients diagnosed as acute pancreatitis, above 12 years of age of either gender with serum amylase more than 300U/dL were included. X-ray chest, CT scan, and other routine biochemical investigations were done. Diagnosis of necrotizing pancreatitis was made on CT scan findings. Frequency of left pleural effusion on x-ray chest and findings of necrotizing pancreatitis on CT scan were noted. Data was collected and analysed using SPSS version 25. Results: A total of 110 patients of acute pancreatitis were included. Eighty (72.27%) patients were female and 30 (27.27%) male. Seventy (63.63%) patients were diagnosed as having non-necrotizing pancreatitis and forty (36.36%) necrotizing pancreatitis. Thirty-nine patients (97.5%) of necrotizing pancreatitis had left pleural effusion on x-ray chest and two (2.85%) patients with non-necrotizing pancreatitis had similar findings. Conclusion: Patients of acute necrotizing pancreatitis are more likely to develop left pleural effusion which may be considered an additional sign of severity of disease.

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