Thoracobilia

Amir-Jahed, A.K.; Sadrieh, M.; Farpour, A.; Azar, Henry A.; Namdaran, F.

doi:10.1016/s0003-4975(10)65218-6

Cited by 21 publications

(5 citation statements)

References 15 publications

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“…Biliothorax has also been described uncommonly in human medicine, generally secondary to the development of a biliopleural fistula, although it has also been rarely reported as a complication of bile peritonitis in the face of an intact diaphragm. 2,3 Causes for fistula formation include iatrogenic injury secondary to diagnostic and therapeutic interventions, 29,30 thoracoabdominal trauma, 31 parasitic liver disease, 32–34 and suppurative and non-suppurative biliary tract obstructions. 2,35–37 Spontaneous cholecystopleural fistulae most commonly develop in human patients due to suppurative biliary tract obstruction or chronic cholecystitis secondary to gallstones.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous cholecystopleural fistula leading to biliothorax and sepsis in a cat

VanDeventer

Cuq

2019

Journal of Feline Medicine and Surgery Open Reports

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Case summaryA 13-year-old spayed female domestic shorthair cat presented with pleural effusion and suspected triaditis. Intake vitals and leukocytosis were consistent with a diagnosis of systemic inflammatory response syndrome. Biochemical analysis confirmed a pleural fluid-to-serum bile ratio consistent with a diagnosis of biliothorax. Abdominal ultrasound failed to identify a definitive gall bladder but noted a hypoechoic tubular structure ventral to the liver and contacting the diaphragm. Thoracic ultrasound identified a hyperechoic structure contacting the diaphragm at the same location. Thoracoabdominal CT scan identified a fluid-dense tubular structure extending from ventral to the liver, through a diaphragmatic defect and directly communicating with the pleural space, suspected to be an abnormal gall bladder. The cat was humanely euthanized, and post-mortem analysis confirmed a cholecystopleural fistula arising from the gall bladder with multifocal abscesses, mixed inflammatory hepatic infiltrates and small-cell gastrointestinal lymphoma. Culture of the abscess isolated Parabacteroides merdae, meeting the reported feline criteria for sepsis.Relevance and novel informationTo our knowledge, spontaneous cholecystopleural fistula formation leading to biliothorax and sepsis has not been previously reported in the cat. This case highlights a novel sequela of gall bladder disease in this species, and biliothorax should be a differential diagnosis for pleural effusion in cats with evidence of cholecystitis or triaditis.

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Section: Discussionmentioning

confidence: 99%

Spontaneous cholecystopleural fistula leading to biliothorax and sepsis in a cat

VanDeventer

Cuq

2019

Journal of Feline Medicine and Surgery Open Reports

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“…The main cause of biliothorax, described in the few reported cases in the literature, is the presence of PBF secondary to choledocolithiasis [3], trauma [4] or iatrogenic procedures [5]. Other rare causes described in the literature are hepatic parasitic disease [6], radiofrequency ablation of liver tumors [7] and biliary stent migration [8].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Left-Sided Massive Biliothorax

Soler-Sempere¹

2015

Int J Respir Pulm Med

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“…However, BBF is also a rare complication of diseases of the biliary tract. The fistula can be due either to obstruction of the bile ducts [3]or to infectious diseases involving the liver (hydatid cyst or amebic liver abscess) [4, 5]. The pathogenesis of BBF caused by bile duct obstruction probably involves a local inflammatory processes (cholangitis) followed by liver abscess development and rupture into the pleural space and lung [6].…”

Section: Discussionmentioning

confidence: 99%

Chronic Cough due to Bronchobiliary Fistula

Al-Mezem

AL-Jahdali²

1999

Respiration

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Bronchobiliary fistula is a rare cause of chronic cough. Here we describe a 70-year-old woman complaining of chronic cough and copious dark-yellow watery sputum. The presence of air in the biliary tract in the lower cuts of a computerized tomography scan of the chest and positive bile in the sputum led to the suspicion of bronchobiliary fistula. The diagnosis was confirmed by percutaneous transhepatic cholangiography. Drainage of the intrahepatic biliary tract resulted in complete resolution of her symptoms.

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Thoracobilia

Cited by 21 publications

References 15 publications

Spontaneous cholecystopleural fistula leading to biliothorax and sepsis in a cat

Spontaneous cholecystopleural fistula leading to biliothorax and sepsis in a cat

An Unusual Case of Left-Sided Massive Biliothorax

Chronic Cough due to Bronchobiliary Fistula

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