A Rare Case of Biliopleural Fistula that Complicates Mirizzi Syndrome
10.15279/kpba.2026.31.1.19
- Author:
Dimitry GARRY
1
;
Adianto NUGROHO
;
Andri ANDRI
;
Hussein Fachruddin RA
;
Indah JAMTANI
;
Aditomo WIDARSO
;
Rofi Y. SAUNAR
Author Information
1. Department of Surgery, Fatmawati General Hospital, Jakarta, Indonesia
- Publication Type:Case Report
- From:Korean Journal of Pancreas and Biliary Tract
2026;31(1):19-23
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mirizzi syndrome is infrequently associated with fistula formation, particularly a unique biliopleural fistula. The ideal therapeutic strategy remains diverse across guidelines, which usually includes surgical excision to eliminate the source of infection. We reported a case of a 60-year-old jaundiced female with pleural effusion resulting from a biliopleural fistula. Imaging revealed a cystic lesion close to the periphery of the upper right diaphragm, connected to the gallbladder. Following initial pleural drainage, an abdominal exploration was conducted to excise the fistula and remove the gallbladder. A multidisciplinary approach is essential for obtaining optimal outcomes for patients with biliopleural fistula.