Presentation of pancreatic pleural effusion without abdominal symptoms

Signs and symptoms of disorder in the lungs may accompany acute and chronic pancreatitis. Such involvement is a valuable lead in the diagnosis of pancreatic inflammation and has been described in the literature. The pleuropulmonary complications of acute pancreatitis include pleural effusions, basal atelectasis, parenchymal infiltration, diaphragmatic elevation, bronchopleural fistula, pleural reaction, and adult respiratory distress syndrome.(1) We present a case of pancreatic pleural effusion who presented with primary chest symptoms and without abdominal symptoms. A 43 year old female, who presented with retrosternal chest pain and left sided pleuritic chest pain and progressive dyspnea of 1 month duration diagnosed as exudative pleural effusion left side with pancreatico pleural fistula demonstrated in MRI Abdomen who improved with chest tube drainage for pleural effusion and conservative therapy for pancreatitis.