[An unusual complication of hepatocellular carcinoma: the pleuro-biliary fistula]
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Daniela Tirotta1, Vittorio Durante
1UO Medicina Interna, Ospedale Cervesi, Cattolica, AUSL Rimini. danitirotta@libero.it
Abstract:
A patient with hepatocellular carcinoma had fever, cough, dyspnea. The analysis and the transcatheter arterial chemoembolization (TACE) showed leucocytosis, cholestasis and pleural viscous fluid with bilirubin. The patient was stabilized and two chest tube were placed. Abdomen CT demonstrated dilated bile duct and pleuro-biliary fistula: dilated bile duct, necrosis and portal thrombus were predictive for TACE-induced pleuro-biliary fistula.
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