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Chest. 1990 Mar;97(3):751-2.

Cholecystopleural fistula with cholelithiasis presenting as a right pleural effusion.

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1
Department of Medicine, Hahnemann University Hospital, Philadelphia.

Abstract

At autopsy, multiple gallstones were recovered from the right pleural space of an elderly patient who presented with a massive right pleural effusion and septic shock. The mechanisms of gallstone migration and fistula formation between the gallbladder and right pleural space are described. Despite atypical presentations, gallbladder disease remains an important differential consideration of right pleural effusion in the elderly.

PMID:
2407457
DOI:
10.1378/chest.97.3.751
[Indexed for MEDLINE]

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