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Xanthogranulomatous pleuritis induced by recurrent biliothorax due to a biliopleural fistula: The first case report in the literature.
Hussein Al-Janabi, Moatasem; Kaada, Hussein; Ismail, Ghina; Roumieh, Dommar; Al-Shehabi, Zuheir.
Afiliación
  • Hussein Al-Janabi M; Department of Pathology, Cancer Research Center, Tishreen University Hospital, Lattakia, Syria.
  • Kaada H; Department of Thoracic Surgery, Tishreen University Hospital, Lattakia, Syria.
  • Ismail G; Department of Gastroenterology, Tishreen University Hospital, Lattakia, Syria.
  • Roumieh D; Department of Thoracic Surgery, Tishreen University Hospital, Lattakia, Syria.
  • Al-Shehabi Z; Department of Pathology, Cancer Research Center, Tishreen University Hospital, Lattakia, Syria.
Respir Med Case Rep ; 50: 102065, 2024.
Article en En | MEDLINE | ID: mdl-38903653
ABSTRACT
Xanthogranulomatous pleuritis is an extremely rare pathological entity, characterized by the infiltration of foamy cells and multinucleated giant cells within the pleural space. This condition often mimics infectious and neoplastic processes, presenting significant diagnostic challenges. This report details the first documented case of xanthogranulomatous pleuritis induced by recurrent biliothorax due to a biliopleural fistula, presenting a unique clinical scenario. We describe the clinical presentation, diagnostic hurdles, and both the surgical and medical management of this case. The discovery of biliothorax, evidenced by pleural fluid bilirubin levels that exceed serum bilirubin levels, underscores the importance of considering biliothorax in the differential diagnosis of recurrent pleural effusions, particularly in patients with a history of trauma. This case emphasizes the need for heightened awareness and a multidisciplinary approach in the diagnosis and treatment to effectively manage this complex condition and prevent recurrence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respir Med Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Siria Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respir Med Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Siria Pais de publicación: Reino Unido