An Interesting Case of a Bilious Pleural Effusion

Autor: Christoffel van Niekerk MD, Kelly Fan MD, Anna Sarcon MD, Bao Luu MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 5 (2017)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/2324709617720160
Popis: Malignant pleural effusions are common complications in patients with primary or metastatic cancer to the lungs. In this article, we describe a unique case of a patient with history of diffuse pulmonary metastases from gallbladder adenocarcinoma who acutely developed a bilious pleural effusion following endoscopic retrograde cholangiopancreatography. We believe the bilious pleural effusion (cholethorax or bilothorax) developed as a complication of endoscopic retrograde cholangiopancreatography rather than tumor burden causing a fistula from the biliary tree to the right pleural space. We discuss possible mechanisms of formation of the bilious pleural effusion in our patient and present a literature review of previously reported cases of bilious pleural effusions.
Databáze: Directory of Open Access Journals