Bilious Pleural Infection via Pleurobiliary Fistula Following Percutaneous Transhepatic Gallbladder Drainage
Journal of the Korean Geriatrics Society
; : 248-253, 2015.
Article
em Ko
| WPRIM
| ID: wpr-39491
Biblioteca responsável:
WPRO
ABSTRACT
A pleurobiliary fistula is an abnormal communication between the biliary system and the pleural space. It has rarely been reported after percutaneous transhepatic gallbladder drainage (PTGBD). Here, we report the case of an 88-year-old man with bilious pleural infection via pleurobiliary fistula following PTGBD. The patient had a fever, dyspnea and right pleuritic chest pain. The PTGBD was performed 2 months prior to treat acute cholecystitis with large gallstones. Chest radiography demonstrated a right pleural effusion and a computed tomography of the abdomen showed a pleurobiliary fistula tract associated with the previous PTGBD. A drainage tube was inserted into the right pleural effusion, and the bilious pleural fluid infected with Escherichia coli was drained. Careful approach to PTGBD procedure and reducing duration of catheter placement should prevent fistula formation. As a rare complication of PTGBD, practitioners should be aware of the potential of pleural infection by a pleurobiliary fistula tract.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Derrame Pleural
/
Tórax
/
Sistema Biliar
/
Dor no Peito
/
Radiografia
/
Cálculos Biliares
/
Drenagem
/
Fístula Biliar
/
Colecistite Aguda
/
Dispneia
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Aged80
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Geriatrics Society
Ano de publicação:
2015
Tipo de documento:
Article