A RARE CASE OF TUBERCULOUS EMPYEMA NECESSITANS COMPLICATING WITH PANCREATIC PSEUDOCYST AND CHRONIC PANCREATITIS RESULTING IN PANCREATICOPLEURAL FISTULA

Dr. Richa Gupta*, N. C. Kajal, Binny and Amit Goyal

ABSTRACT

Tubercular empyema necessitans is a rare entity which occurs due to extravasation of pus loaded with tuberculous organisms from the chest wall with underlying heavily calcified pleura. Pancreaticopleural fistula is a complication of pancreatitis or pseudocyst occurring due to inflammation of pancreatic duct. We present a case of 26 year old male with pancreaticopleural fistula who presented with complaint of chest swelling which was diagnosed as tubercular empyema necessitans further it was complicated with chronic pancreatitis and pancreatic pseudocyst.

Keywords: Empyema necessitans, pancreaticopleural fistula, chronic pancreatitis, pancreatic pseudocyst.