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(Chest. 1994;106:961-963.)
© 1994 American College of Chest Physicians

Spontaneous Biliothorax (Thoracobilia) Following Cholecystopleural Fistula Presenting as an Acute Respiratory Insufficiency

Successful Removal of Gallstones From the Pleural Space

Fabiola Delcò M.D.1; Guido Domenighetti M.D.1; Drazen Kauzlaric M.D.2; Diego Donati M.D.3; and Giorgio Mombelli M.D.1

1 From the Division of Internal Medicine, District Hospital, Locarno, Switzerland
2 From the Division of Radiology, District Hospital, Locarno, Switzerland
3 From the Division of Surgery, District Hospital, Locarno, Switzerland

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.






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Copyright © 1994 by the American College of Chest Physicians.