title: Primary biliary cirrhosis presenting with ascites and a hepatic hydrothorax: a case report.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Princess Alexandra Hospital Harlow, Essex UK.
authors.forename: Thomas George
authors.initials: TG
authors.lastname: Wojcikiewicz
authors.forename: Sachin
authors.initials: S
authors.lastname: Gupta