Recurrent pleural effusions: an unusual presentation of chronic pancreatitis.

Chronic pancreatitis is a rare cause of recurrent pleural effusion. Here is a case of recurrent massive left pleural effusions due to pancreaticopleural fistula (PPF) secondary to asymptomatic chronic pancreatitis. Pleural fluid analysis was inconclusive. Diagnosis was made by CT chest and abdomen and confirmed by MRCP and MRI. He required surgical intervention although medical management with pancreatic ductal stenting is the first line of treatment.