Primary biliary cirrhosis presenting with ascites and a hepatic hydrothorax: a case report.
BACKGROUND
We report an unusual presentation of primary biliary cirrhosis.


METHODS
We present the case of a 66-year-old white British woman who presented to the Accident and Emergency department with ascites and unilateral pleural effusion (hepatic hydrothorax). Following a liver biopsy, the diagnosis of primary biliary cirrhosis was made.


CONCLUSIONS
It is important to consider the diagnosis of hepatic cirrhosis when presented with a unilateral pleural effusion in both the presence and absence of ascites.
Wojcikiewicz
Thomas George
TG
Department of Gastroenterology, Princess Alexandra Hospital Harlow, Essex UK.
Gupta
Sachin
S