Pancreatic pleural fistula (PPF) is a rare complication of chronic pancreatitis. Patients present with pulmonary symptoms more than abdominal symptoms leading to delayed in diagnosis. We report a case of recurrent massive U/L PLEF of pancreatic origin. Clinical finding in addition to amylase rich pleural fluid and demonstration of fistulous tract on imaging helps to identifying the cause.

Keywords: Pancreatic pleural fistula (PPF), Pleural effusion, pancreatic pseudo cyst, MRI with MRCP.

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Puspita Singh

Post Graduate trainee, Department of Pulmonary Medicine, VIMSAR, Burla, Odisha, India