Pleural-Fluid Amylase in Acute Pancreatitis

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Abstract
THE diagnosis of acute and subacute pancreatitis is often difficult. It is well known that ascites accompanying pancreatitis often contains considerable amounts of amylase. It is less widely appreciated however, that pleural effusion, which frequently occurs with pancreatitis, also contains amylase. Although this fact is not mentioned in recent reviews of pancreatitis1 2 3 4 5 individual positive observations have been reported by Kalser et al.,6 Palmer,7 Werner8 and Roseman, Kowlessar and Sleisinger.9 According to Hammarsten, Honska and Limes,10 who recently collected 7 cases from the literature and added 4 cases of their own, the amylase content of pleural fluid in the acute phase . . .

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