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Bilateral Bilothorax: An Unusual Cause of Bilateral Exudative Pleural Effusion
Kanval Shah1, Nakul Ravikumar2, Q Kamran Uddin3
1Internal Medicine, University of Massachusetts Medical School - Baystate Medical Center, Springfield, USA.
Abstract:
Bilothorax is an uncommon cause of exudative pleural effusion; the majority of reported cases are right-sided while a bilateral presentation is extremely rare. The majority of cases are secondary to biliary obstruction, an extension of hepatic infections, and iatrogenic complications following percutaneous procedures or surgical interventions. Imaging studies and a diagnostic pleural tap can confirm the diagnosis. Early recognition and complete drainage are important to prevent life-threatening complications, including empyema formation. We present a case of a 71-year-old female who developed bilateral bilothorax as a complication of gallstone pancreatitis.
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