Hepatic Hydrothorax and Complex Tuberculous Pleuritis-Contarini’s Condition in a Patient with Hepatitis C-related Chronic Liver Disease

Contarini's condition refers to the presence of bilateral pleural effusions with distinctly different biochemical characteristics, indicating their separate aetiologies.A 44-year male with hepatitis C-related chronic liver disease (CLD) presented with a one-month history of dyspnoea, anorexia, and fever.Imaging and biochemical studies revealed bilateral pleural effusions with contrasting features: A freeflowing right-sided transudative effusion (hepatic hydrothorax) and a large left-sided exudative effusion with loculations and pleural thickening.Pleuroscopic examination of the left pleural surface and histology confirmed tuberculous pleuritis.This case highlights the importance of diagnostic thoracocentesis and imaging studies in identifying Contarini's condition, particularly in patients with underlying CLD.