Biliopleural Fistula: A Rare Case Report Following Blunt Trauma to Chest and Abdomen

Abstract Biliopleural fistula is a rare pathological communication between biliary tree and the pleural cavity. It is an uncommon but serious complication that may arise following trauma, hepatobiliary surgery, hydatid disease or liver abscess rupture. Here is a case of an adult male with unusual presentation of cough, breathlessness following blunt trauma to chest and abdomen. Later imaging revealed haziness involving right side of lung. Early diagnosis was made and supportive management was initiated. This case highlights the importance of timely diagnosis and conservative management followed by chest tube insertion in the case of a biliopleural fistula.