Bilious Pleural Infection via Pleurobiliary Fistula Following Percutaneous Transhepatic Gallbladder Drainage.
10.4235/jkgs.2015.19.4.248
- Author:
Hye Young LEE
1
;
Ji Young LEE
;
Young Il KIM
;
Ki Sul CHANG
;
Ji Young YHI
;
Ji Yong MOON
;
Sang Heon KIM
;
Tae Hyung KIM
;
Jang Won SOHN
;
Dong Ho SHIN
;
Ho Joo YOON
;
Dong Won PARK
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. portrayme@hanmail.net
- Publication Type:Case Report
- Keywords:
Biliary fistula;
Drainage;
Pleural effusion
- MeSH:
Abdomen;
Aged, 80 and over;
Biliary Fistula;
Biliary Tract;
Catheters;
Chest Pain;
Cholecystitis, Acute;
Drainage*;
Dyspnea;
Escherichia coli;
Fever;
Fistula*;
Gallbladder*;
Gallstones;
Humans;
Pleural Effusion;
Radiography;
Thorax
- From:Journal of the Korean Geriatrics Society
2015;19(4):248-253
- CountryRepublic of Korea
- Language:Korean
-
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.
