Abstract:An eleven-year-old boy presented with massive left sided pleural effusion after non-response to intercostal chest tube drainage and empirical anti-tubercular treatment. The pleural fluid was hemorrhagic, did not grow any organism, nor had any malignant cell. A raised amylase level was indicative of pancreatic origin of the effusion. He had no abdominal sign. He had also developed disseminated intravascular coagulation. On revisiting history, the boy could recollect blunt abdominal injury prior to the onset of … Show more
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