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Updated: Jul 14, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Cholecystopleural fistula with cholelithiasis presenting as a right pleural effusion
L W Cunningham1, M Grobman, H L Paz
1Department of Medicine, Hahnemann University Hospital, Philadelphia.
Abstract:
At autopsy, multiple gallstones were recovered from the right pleural space of an elderly patient who presented with a massive right pleural effusion and septic shock. The mechanisms of gallstone migration and fistula formation between the gallbladder and right pleural space are described. Despite atypical presentations, gallbladder disease remains an important differential consideration of right pleural effusion in the elderly.
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