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Updated: Jul 30, 2026

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Bilithorax after attempted transhepatic biliary decompression
Journal of Clinical Gastroenterology
|December 1, 1987
Abstract:
Bile in the pleural cavity (bilithorax) is very uncommon. A biliary-pleural fistula, resulting from hepatic puncture performed for biliary decompression in obstructive jaundice, led us to review the literature.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...

