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Chest. 1994 Sep;106(3):961-3.

Spontaneous biliothorax (thoracobilia) following cholecystopleural fistula presenting as an acute respiratory insufficiency. Successful removal of gallstones from the pleural space.

Author information

1
Division of Internal Medicine, District Hospital, Locarno, Switzerland.

Abstract

A patient presented to the emergency department with tachypnea, fever, a right pleural effusion, and lung consolidation. The computed tomographic guided thoracentesis yielded a greenish fluid with bilirubin. The ultrasound examination demonstrated a distended gallbladder with stones, positioned on the ventral face of the liver and a free communication between the fundus and the pleural cavity. The cholecystopleural fistula was confirmed at operation.

PMID:
8082392
DOI:
10.1378/chest.106.3.961
[Indexed for MEDLINE]

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