Cholethorax Secondary to Pleurobiliary Fistula (PBF) Post-hydatid Cyst Surgery

Cholethorax

Abstract

Cholethorax is a rare complication of hepatic hydatid disease and hepatic surgery. We report a case of Cholethorax, post hydatid cystectomy in a 28 years old male who was referred to our unit with worsening shortness of breath, cough and persistent high-grade fever. He had right sided pleural effusion with raised pleural fluid bilirubin levels, diagnosed as Cholethorax, initially managed by tube thoracostomy, endoscopic biliary stenting and then later on decortication with diaphragm repair. We believe that Cholethorax can be developed as a delayed complication of hepatic hydatidosis, as in our case who presented 2 months after surgery.