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After 3\u2009days of clinical stability, the patient deteriorated rapidly, with worsening of analytical parameters and coma. The patient died a few hours later. Given the rapid and unexplained evolution of the disease, a clinical autopsy was requested, which revealed a left pleural empyema caused by perforated diverticula by neoplastic infiltration of biliary origin.<\/jats:p>","DOI":"10.1136\/bcr-2022-250061","type":"journal-article","created":{"date-parts":[[2023,3,10]],"date-time":"2023-03-10T07:55:15Z","timestamp":1678434915000},"page":"e250061","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Pleural empyema secondary to perforated diverticulosis due to biliary neoplasia infiltration"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5259-335X","authenticated-orcid":false,"given":"Maria Teresa","family":"Dawid de Vera","sequence":"first","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica (UGC) de Anatom\u00eda Patol\u00f3gica, Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga (IBIMA), Hospital Universitario Virgen 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