关键词: biliothorax bilious pleural effusion emergency department pulmonary adenocarcinoma respiratory failure

来  源:   DOI:10.7759/cureus.55838   PDF(Pubmed)

Abstract:
Biliothorax is the presence of bile in the pleural cavity. This condition is rare, and it usually results as a complication of hepatobiliary procedures. The authors present a case of an 87-year-old female who was admitted to the emergency department with the acute onset of severe dyspnea. A chest X-ray and CT revealed a large right-lung pleural effusion that, after thoracentesis, confirmed the presence of biliothorax. It is important to consider this entity when confronted with an effusion liquid of a dark greenish color, as a delay in diagnosis and management may be life-threatening.
摘要:
Biliothorax是胸膜腔中胆汁的存在。这种情况很罕见,它通常是肝胆手术的并发症。作者介绍了一例87岁女性,因严重呼吸困难急性发作而入院急诊科。胸部X线和CT显示大量右肺胸腔积液,胸腔穿刺术后,证实了胆汁胸的存在.当面对深绿色的积液液体时,重要的是要考虑这个实体,因为诊断和治疗的延迟可能危及生命。
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