title: A rare pleural effusion in a young male.
abstract: A 28-year-old male presented with fever with right-sided chest pain for 2 weeks. Clinicoradiological picture was suggestive of right-sided pleural effusion. He had history of polytrauma following a road traffic accident and had to undergo emergency laparotomy a month ago. Microscopic and culture examination of the pleural fluid showed neutrophilia, high bilirubin content and presence of gram-negative bacilli. Ultrasound of the abdomen showed the presence of biloma in the liver and right subdiaphragmatic space with fistulous communication into the right thoracic cavity. The patient was managed successfully with complete recovery.
authors.affiliation: Department of Anatomy, North Bengal Medical College and Hospital, Sushrutanagar, Siliguri, Darjeeling, West Bengal, India.
authors.forename: Shabana
authors.initials: S
authors.lastname: Begum
authors.affiliation: Department of Pulmonary Medicine, College of Medicine, and Sagar Dutta Medical Hospital, Kolkata, West Bengal, India.
authors.forename: Subhasis
authors.initials: S
authors.lastname: Mukherjee
authors.affiliation: Department of Pulmonary Medicine, College of Medicine, and Sagar Dutta Medical Hospital, Kolkata, West Bengal, India.
authors.forename: Debabani
authors.initials: D
authors.lastname: Biswas
authors.affiliation: Department of Pulmonary Medicine, College of Medicine, and Sagar Dutta Medical Hospital, Kolkata, West Bengal, India.
authors.forename: Amartya Kumar
authors.initials: AK
authors.lastname: Misra
authors.affiliation: Department of Pulmonary Medicine, College of Medicine, and Sagar Dutta Medical Hospital, Kolkata, West Bengal, India.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Ghosh
authors.affiliation: Department of Pulmonary Medicine, College of Medicine, and Sagar Dutta Medical Hospital, Kolkata, West Bengal, India.
authors.forename: Pulakesh
authors.initials: P
authors.lastname: Bhanja
keywords: Biliopleural fistula; biloma; pleural effusion