A pancreatico-pleural fistula diagnosed with magnetic resonance cholangiopancreatography.

Pancreatico-pleural fistula (PPF) represents a rare complication of chronic pancreatitis, especially in patients with an alcohol abuse history. It results from the traumatic or inflammatory disruption of the main pancreatic duct or its side branches, leading to the formation of a fistulous tract between the pancreas and the pleural cavity through the esophageal or aortic hiatus of the diaphragm [1, 2]. We report a case of recurrent chronic alcohol-related pancreatitis evolving into a PPF in a young man who underwent magnetic resonance cholangiopancreatography (MRCP).