Pleurobiliary fistula

Last revised by Daniel J Bell on 26 Jun 2021

A pleurobiliary fistulae refers to an abnormal fistulous communication between the biliary tree and pleural space. It forms the large portion of thoracobiliary fistulas and can occur in various situations such as with complications secondary to trauma, infection, malignancy, biliary disease, or percutaneous procedures.

Radiographic features

Its presence may be suggested by the development of a right pleural effusion in a patient with a relevant clinical history.

Nuclear medicine

A hepatobiliary/HIDA scan can be useful for confirmation.

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