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Clinical Pediatrics
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Rapidly Filling Pleural Effusion Due To a Subarachnoid-Pleural Fistula

Pratibha Singhi

Department of Pediatrics, Postgraduate Institute of Medical Education and Research

Uma S. Nayak

Department of Pediatrics, Postgraduate Institute of Medical Education and Research

Sunita Ghai

Department of Pediatrics, Postgraduate Institute of Medical Education and Research

Lata Kumar

Department of Pediatrics, Postgraduate Institute of Medical Education and Research

K.S. Reddy

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India

R.K. Suri

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India

Only five cases of subarachnoid-pleural fistula in children have been reported previously. All had a history of trauma and associated neurologic deficit which gave clue to the diagnosis. The authors present a child who presented with a massive, rapidly filling, clear pleural effusion in whom there was no neurologic deficit. The history of an automobile accident in the past had almost been forgotten. A subarachnoid-pleural fistula was discovered on exploratory thoracotomy. The entity should be thought of, and actively investigated, in a child with a history of trauma and a pleural effusion of obscure etiology, even if there is no associated neurologic deficit.

Clinical Pediatrics, Vol. 26, No. 8, 416-418 (1987)
DOI: 10.1177/000992288702600807
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