PT  - JOURNAL ARTICLE
AU  - Maria Teresa Dawid de Vera
AU  - Juan Daniel Prieto Cuadra
AU  - Dolores Domínguez Pinos
AU  - Isabel Hierro Martín
TI  - Pleural empyema secondary to perforated diverticulosis due to biliary neoplasia infiltration
AID  - 10.1136/bcr-2022-250061
DP  - 2023 Mar 01
TA  - BMJ Case Reports
PG  - e250061
VI  - 16
IP  - 3
4099  - http://casereports.bmj.com/content/16/3/e250061.short
4100  - http://casereports.bmj.com/content/16/3/e250061.full
SO  - BMJ Case Reports2023 Mar 01; 16
AB  - A long-term female smoker presented to the emergency department with cough, greenish mucus and dyspnoea, without fever. The patient also reported abdominal pain and significant weight loss in recent months. Laboratory tests showed leucocytosis with neutrophilia, lactic acidosis and a faint left lower lobe consolidation on chest X-ray, for which she was admitted to the pneumology department and started on broad-spectrum antibiotherapy. After 3 days of clinical stability, the patient deteriorated rapidly, with worsening of analytical parameters and coma. The patient died a few hours later. Given the rapid and unexplained evolution of the disease, a clinical autopsy was requested, which revealed a left pleural empyema caused by perforated diverticula by neoplastic infiltration of biliary origin.