title: Pleurobiliary fistula secondary to choledocholithiasis --- a rare entity.
abstract: Pleurobiliary fistula secondary to common bile duct obstruction due to stone is a very rare clinical entity. A 55-year-old female patient presented in the emergency department with features of septicaemia with left pleural effusion. Intercostal tube drainage drained 5 L of bile on the first day and around 500-600 mL of bile each day subsequently. Magnetic resonance cholangiopancreaticography showed choledocholithiasis with pleurobiliary fistula. The patient underwent bilioenteric bypass and ligation of the fistulous tract with complete cure.
authors.affiliation: Department of Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. sudhirkumar11@gmail.com
authors.forename: Sudhir Kumar
authors.initials: SK
authors.lastname: Jain
authors.forename: Amit
authors.initials: A
authors.lastname: Gupta
authors.forename: Ram Chandra Murti
authors.initials: RC
authors.lastname: Kaza
mesh_terms: D001658:Biliary Fistula / Q000209:etiology*; D042883:Choledocholithiasis / Q000150:complications*; D003964:Diaphragm; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology