Pancreaticopleural fistula and mediastinal pseudocyst: an unusual presentation of acute pancreatitis.

We report a case of an adult male who presented with recurrent massive hemorrhagic pleural effusion with a mediastinal cyst due to an unusual complication of pancreatic pseudocyst-like pancreaticopleural fistula and a mediastinal pseudocyst. The clinical presentation was misleading since the patient presented with predominantly respiratory complaints. High index of suspicion of pancreatic etiology in recurrent massive hemorrhagic pleural effusion may lead to the diagnosis.