Journal Mobile

A Fahim, JA Kastelik
Journal Issue: 
Volume 40: Issue 2: 2010




We  describe  a  case  of  exudative  pleural  effusion  in  a  patient  with mucinous pulmonary adenocarcinoma. Pleural fluid examination showed markedly raised amylase with normal serum amylase concentration. There was no clinical or radiological  evidence  of  oesophageal  rupture  or  pancreatitis. The  case  illustrates the importance of considering pulmonary malignancy in the context of amylase-rich pleural effusion. Causes of amylase-rich pleural effusion and the significance of isoenzyme analysis are discussed.