Perforation of the oesophagus with amylase rich pleural effusion

Two cases of patients with amylase rich pleural effusion secondary to oesophageal perforation are described and the difficulties in making the differential diagnosis from acute pancreatitis are discussed. It is suggested that the amylase in the pleural fluid is derived from saliva and that the ascer...

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Bibliographic Details
Published inBritish journal of diseases of the chest Vol. 68; pp. 197 - 201
Main Authors Bellman, M.H., Rajaratnam, H.N.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.01.1974
Subjects
Aged
Amylases - analysis
Aspartate Aminotransferases - analysis
Blood Chemical Analysis
Blood Sedimentation
Body Fluids - analysis
Dyspnea - etiology
Electrocardiography
Empyema - complications
Esophageal Perforation - complications
Esophageal Perforation - diagnosis
Hemoglobins - analysis
Humans
Jaundice - complications
Leukocyte Count
Male
Nausea - etiology
Oliguria - complications
Pain - etiology
Peptic Ulcer - pathology
Pleural Effusion - analysis
Pleural Effusion - diagnosis
Radiography, Thoracic
Sodium - blood
Vomiting - etiology
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Summary:Two cases of patients with amylase rich pleural effusion secondary to oesophageal perforation are described and the difficulties in making the differential diagnosis from acute pancreatitis are discussed. It is suggested that the amylase in the pleural fluid is derived from saliva and that the ascertainment of this may be a simple early diagnostic test.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0007-0971
1878-2426
DOI:10.1016/0007-0971(74)90038-2