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Conclusion Clinicians must be aware of the presentation of COVID-19 in children because it differs from that in adults.Introduction Pancreaticopleural fistula (PPF) is a rare but serious complication of pancreatic disorders. As the clinical presentations of PPF are often deceptive, it can cause a delay in the timely diagnosis and proper treatment. PPF is extremely uncommon in pediatric patients, and diagnostic and management strategies for PPF among pediatric patients are scanty. Patient concerns A 12-year-old girl presented w