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Thoracobiliary Fistula Complications Following Concomitant Diaphragm and Liver Injury.
J Surg Res
December 2024
Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio. Electronic address:
Introduction: Thoracobiliary fistula (TBF) is a rare and highly morbid complication of hepatic trauma. There is a paucity of literature regarding incidence, disease course, and treatment. This study identifies etiologic factors and outcome patterns in patients at risk for TBF.
View Article and Find Full Text PDFBrown-Colored Malignant Pleural Fluid With High Bilirubin Levels: A Case Series.
Case Rep Pulmonol
November 2024
Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Brown-colored pleural effusion is rare and may result from high bilirubin levels such as bilothorax (often described as a pleural fluid-to-serum bilirubin ratio of > 1.0). We describe four patients with malignant pleural effusion that appeared macroscopically brown with a pleural fluid-to-serum bilirubin ratio between 3.
View Article and Find Full Text PDFExtraordinary Pleural Exudate - Bilothorax.
Am J Med
November 2024
Adelson School of Medicine, Ariel University, Israel; Department of Imaging, Laniado University Hospital, Sanz Medical Center, Netanya, Israel.
Article Synopsis
- - Bilothorax is a rare but serious condition where bile accumulates in the pleural space, often linked to injuries in the biliary system or diaphragm.
- - A 70-year-old female with liver cirrhosis developed a pleural effusion after undergoing ERCP and biliary stenting, which persisted for 2 months without noticeable symptoms.
- - The patient underwent thoracentesis, revealing 435 mL of bilious fluid, confirming bilothorax, underscoring the need to consider this condition in similar patients.
Spontaneous bilothorax without previous surgery or trauma, a case report.
J Surg Case Rep
August 2024
Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.
Article Synopsis
- - Bilothorax is a rare condition linked to severe infections, often presenting with right-sided pleural effusion, with causes including biliary obstruction and infections; diagnosis is confirmed by a specific pleural fluid to serum bilirubin ratio above 1.
- - A case study involved a 33-year-old Asian woman experiencing progressive shortness of breath due to a pleural effusion, which was identified as a biloma with a bilirubin ratio of 15.9; imaging revealed a nodule linked to a hemorrhagic endometriotic lesion.
- - Treatment for this patient included antibiotics, a tube to drain the pleural effusion, and various procedures to address both the bilothorax and the endometri
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