An Interesting Case of a Bilious Pleural Effusion

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 follo...

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Main Authors: Christoffel van Niekerk MD, Kelly Fan MD, Anna Sarcon MD, Bao Luu MD
Format: Article
Language:English
Published: SAGE Publishing 2017-07-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709617720160
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author Christoffel van Niekerk MD
Kelly Fan MD
Anna Sarcon MD
Bao Luu MD
author_facet Christoffel van Niekerk MD
Kelly Fan MD
Anna Sarcon MD
Bao Luu MD
author_sort Christoffel van Niekerk MD
collection DOAJ
description 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.
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spelling doaj.art-51184efd7b5c4de498656378a1806b7b2022-12-21T17:57:28ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962017-07-01510.1177/2324709617720160An Interesting Case of a Bilious Pleural EffusionChristoffel van Niekerk MD0Kelly Fan MD1Anna Sarcon MD2Bao Luu MD3Scripps Green Hospital, La Jolla, CA, USAScripps Green Hospital, La Jolla, CA, USAScripps Green Hospital, La Jolla, CA, USAScripps Green Hospital, La Jolla, CA, USAMalignant 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.https://doi.org/10.1177/2324709617720160
spellingShingle Christoffel van Niekerk MD
Kelly Fan MD
Anna Sarcon MD
Bao Luu MD
An Interesting Case of a Bilious Pleural Effusion
Journal of Investigative Medicine High Impact Case Reports
title An Interesting Case of a Bilious Pleural Effusion
title_full An Interesting Case of a Bilious Pleural Effusion
title_fullStr An Interesting Case of a Bilious Pleural Effusion
title_full_unstemmed An Interesting Case of a Bilious Pleural Effusion
title_short An Interesting Case of a Bilious Pleural Effusion
title_sort interesting case of a bilious pleural effusion
url https://doi.org/10.1177/2324709617720160
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