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Eur J Cardiothorac Surg 2001;19:216-218
© 2001 Elsevier Science NL

Case report

Pleuro-biliary fistula from a ruptured choledochal cyst

^a Department of Thoracic surgery, Yorkshire Heart Centre, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK
^b Leeds Institute for Minimally Invasive Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK

Received 6 June 2000; received in revised form 31 October 2000; accepted 15 November 2000.

Corresponding author. Tel.: +44-113-392-5897; fax: +44-113-392-8092
e-mail: ianrramnarine{at}hotmail.com

We present a case of rupture of an intrahepatic choledochal cyst through the diaphragm resulting in a pleuro-biliary fistula and a right pleural empyema which was surgically treated. Hepatobiliary complications resulting in biliary empyema of the pleura are discussed.

Key Words: Choledochal cyst rupture • Pleuro-biliary fistula • Empyema