Pulmonary Manifestations of Pancreatitis

Abstract
SIGNS and symptoms of disorder in the lungs and pleura may accompany acute and chronic pancreatitis. Such involvement of thoracic structures is a valuable lead in the diagnosis of pancreatic inflammation, and has been well described in the literature. Thoracic signs described1 2 3 4 5 6 7 8 have included a sluggish, elevated or immobile diaphragm, usually the left leaf, interlobar adhesions, basilar atelectasis, pneumonic infiltrates and pleural effusions. The high concentration of amylase and lipase in pleural fluid in some cases has been attributed to leakage of pancreatic ferments via transdiaphragmatic lymphatic channels.5 , 9 , 10 It is of interest that right-sided pleural effusions have been described in . . .