Right sided massive Haemorrhagic pancreatic pleural effusions

Pancreatic disorders like Acute pancreatitis, Pancreatic Abscess, Pseudocyst, Pancreatic malignancy, Chronic pancreatitis present with pleural effusions. Here we present four cases of right sided massive hemorrhagic pancreatic pleural effusion which presented with chest complaints rather than abdominal ailments. Pancreatic pathology was established after thorough workup and Pleural fluid analysis which showed elevated amylase levels in all the cases and this was clinching our diagnosis which was also supported by Computed Tomography of Abdomen (Plain and Contrast). Hemorrhagic Pleural effusions which also occur in tuberculosis, malignancy primary or secondary or may be due trauma are ruled out during evaluation of each and every case.