Bilothorax or Cholethorax is the accumulation of bilious effusion in the
thorax. It is a rare condition in which bile passes into the pleural space from
the abdominal cavity, necessitating urgent treatment. This article aims to
present a case of bilothorax treated successfully in our institute and review
the literature on this topic to better understand this medical problem and the
best ways of dealing with it. We presented in this article a case of bilothorax
after an attempt of biliary drainage in a known pancreatic cancer patient and
the way we managed it. We concluded about the importance of the early
recognition of this medical problem and the necessity of aggressive and early
management to prevent further morbidities and mortality.
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