Journal of

Case Reports and Images in Medicine

 
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Case Report
 
Bilious pleural effusion from metastatic serous adenocarcinoma of the ovary: A case report
Hanna Ellingsen1, Ashley N. Elsensohn2, Vijal Patel2, Samantha Flynn2
1MS4, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
2Department of Internal Medicine, Lankenau Medical Center, Wynnewood, PA (US).

Article ID: 100009Z09HE2016
doi:10.5348/Z09-2016-9-CR-2

Address correspondence to:
Ashley Elsensohn
MD MPH, Department of Internal Medicine
Lankenau Medical Center, 100 E Lancaster Avenue
Wynnewood, PA 19096

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How to cite this article:
Ellingsen H, Elsensohn AN, Patel V, Flynn S. Bilious pleural effusion from metastatic serous adenocarcinoma of the ovary: A case report. J Case Rep Images Med 2016;1:5–8.


Abstract
Introduction: The pleural cavity is the most common extra-abdominal site for ovarian cancer metastasis. It can, however, be difficult to diagnose ovarian malignancy from the presence of a pleural effusion alone.
Case Report: A 50-year-old premenopausal woman who presented with a large, right-sided, bilious pleural effusion subsequently diagnosed with advanced ovarian cancer.
Conclusion: Metastatic ovarian carcinoma should be considered in appropriate populations when another, more obvious source of the pleural effusion is not evident. In bilious effusions, an overt tract may not be visualized despite appropriate diagnostic imaging and gastrointestinal studies. In these cases, video-assisted thoracoscopic surgery (VATS) can provide a definitive diagnosis and potential therapeutic interventions by selecting patients who could benefit from surgical and chemotherapeutic interventions.

Keywords: Advanced ovarian cancer, Bilious pleural effusion, Malignant pleural effusion, Metastatic effusion


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Author Contributions
Hanna Ellingsen – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ashley Nicole Elsensohn – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vijal Patel – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Samantha Flynn – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Hanna Ellingsen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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