DOI: 10.36347/sjmcr.2014.v02i09.011

Pages: 612-614

Pleural Effusion occurs as a complication of acute pancreatitis which may be of prognostic value. Hemorrhagic Pleural effusions occur in tuberculosis, malignancy primary or secondary or may be due trauma or may be due pancreatic diseases. Pleural effusion thus diagnosed is evaluated based on guidelines given by British Thoracic Society. A 36 year old alcoholic male who was admitted in emergency ward for shortness of breath is evaluated and was timely diagnosed as having right massive hemorrhagic pleural effusion. His pleural fluid analysis showed elevated amylase. His serum amylase levels also were elevated and prompted us for radiological investigations which showed a Pseudocyst in pancreas. In absence of abdominal symptoms, and exudative hemorrhagic effusions should prompt the chest physician to see for pancreatic causes