{
  "abstract": "A 46-year-old pedestrian sustained blunt injury to abdomen when he was struck from behind by a motorcycle, causing him to fall flat onto the roadway. Ultrasound abdomen showed splenic injury and hemoperitoneum. Chest x-ray showed left mild pleural effusion. He was managed conservatively by multiple blood transfusions for anemia and referred to our center after 3 weeks. A triphasic CT scan of abdomen revealed a splenic laceration with multiple pseudoaneurysms, moderate hemoperitoneum, and trace bilateral pleural effusions. No biliary tree injury or fistula was identified. On fifth postoperative day after splenectomy, he developed progressive breathlessness and ultrasound showed increased effusion on left side. Around 500 mL of green pleural fluid was aspirated, which was exudative by Light's criteria and cultures were sterile. Pleural fluid to serum bilirubin ratio was more than one, confirming diagnosis of bilothorax. The most likely mechanism for development of bilothorax is due to resorption of hemoperitoneum and splenic hematoma across left diaphragm into pleural space and heme degradation.",
  "abstract_shown": true,
  "affiliations": [
    "Pulmonary Medicine Asian Institute of Gastroenterology Hyderabad India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Thanuja Reddipilli",
      "orcid": "0009-0009-9584-4874"
    },
    {
      "affs": [
        0
      ],
      "name": "Raghava Rao Gandra"
    },
    {
      "affs": [
        0
      ],
      "name": "Vishwanath Gella"
    },
    {
      "affs": [
        0
      ],
      "name": "Deekshitha Ithepalli"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a4qtrnt8g9rb6.bib",
  "cited_by": 0,
  "doi": "10.1002/ccr3.73841",
  "fulltext_url": "https://europepmc.org/articles/PMC13743991",
  "id": "a4qtrnt8g9rb6",
  "issns": [
    "2050-0904"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999557",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Abdominal Trauma and Injuries"
    ]
  ],
  "openalex": "W7225455960",
  "pdf_url": "https://europepmc.org/articles/PMC13743991?pdf=render",
  "pmcid": "PMC13743991",
  "pmid": "42999557",
  "published": "2026-11-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/a4qtrnt8g9rb6.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999557",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999557"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Abdominal Trauma and Injuries",
      "subfield": "surgery"
    }
  ],
  "title": "Unusual Presentation of Left-Sided Bilothorax Following Spleen Laceration: A Case Without Biliary Tree Injury.",
  "title_text": "Unusual Presentation of Left-Sided Bilothorax Following Spleen Laceration: A Case Without Biliary Tree Injury.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-10T03:20:49Z",
  "url": "https://research.draconitic.com/paper/a4qtrnt8g9rb6",
  "venue": "Clinical case reports",
  "versions": []
}