CTICasesCholecystopleural Fistula
Imaging findings
Abdominal/chest CT shows a large, contiguous fluid and gas collection extending from the gallbladder fossa to the right pleural space (empyema). The gallbladder wall is disrupted, and cultures grew E. coli.
Key takeaways
Cholecystopleural fistula is a rare complication of perforated gangrenous cholecystitis. Bile and infected fluid track into the right pleural space, causing an empyema that typically grows gut organisms like E. coli.
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