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eISSN: 2581-9615 || CODEN: WJARAI || Impact Factor 8.2 ||  CrossRef DOI

Research and review articles are invited for publication in March 2026 (Volume 29, Issue 3) Submit manuscript

Severe acute alcoholic pancreatitis complicated by distributive shock, abdominal compartment syndrome, and black pleural effusion

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  • Severe acute alcoholic pancreatitis complicated by distributive shock, abdominal compartment syndrome, and black pleural effusion

Yuriy Nikiforov 1, *, Blerina Asllanaj 2 and Yi McWhorter 1

1 Department of Critical Care Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA.
2 Department of Internal Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(02), 937-941
Article DOI: 10.30574/wjarr.2024.22.2.1464
DOI url: https://doi.org/10.30574/wjarr.2024.22.2.1464
 
Received on 03 April 2024; revised on 11 May 2024; accepted on 13 May 2024
 
Severe acute pancreatitis (SAP) is a life-threatening medical emergency that can lead to multi-system organ failure and mortality.  Here, we highlight a case of SAP complicated by a black pleural effusion (BPE), distributive shock, and acute abdominal compartment syndrome (ACS) requiring emergent decompressive laparotomy. BPE fluid analysis was consistent with previously reported exudative effusions from a pancreatic pseudocyst, though the computed tomography (CT) of abdomen and pelvis did not show definitive evidence of a pseudocyst. In addition, black fluid was also discovered during decompressive laparotomy for ACS. It is possible that the severely elevated intra-abdominal pressure contributed to a temporary translocation/transudation of this fluid from the abdominal cavity into the pleural space, as no re-accumulation of the BPE was observed on a follow-up CT after thoracostomy tube removal.
 
Severe Acute Pancreatitis; Distributive Shock; Abdominal Compartment Syndrome; Black Pleural Effusion; Acute Respiratory Distress Syndrome; Pleural Fluid Analysis
 
https://wjarr.com/sites/default/files/fulltext_pdf/WJARR-2024-1464.pdf

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Yuriy Nikiforov, Blerina Asllanaj and Yi McWhorter. Severe acute alcoholic pancreatitis complicated by distributive shock, abdominal compartment syndrome, and black pleural effusion. World Journal of Advanced Research and Reviews, 2024, 22(2), 937-941. Article DOI: https://doi.org/10.30574/wjarr.2024.22.2.1464

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