박동원
2017-09-25T05:15:55Z
2017-09-25T05:15:55Z
2015-12
J Korean Geriatr Soc 2015, v. 19, NO. 4, Page. 248-253
1229-2397
2288-1239
https://synapse.koreamed.org/DOIx.php?id=10.4235/jkgs.2015.19.4.248
http://hdl.handle.net/20.500.11754/29356
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.
ko_KR
대한노인병학회
Biliary fistula
Drainage
Pleural effusion
경피적 경간 담낭배액술 이후에 발생한 흉강담도루를 통한 담즙성 흉막 감염 1예
Bilious Pleural Infection via Pleurobiliary Fistula Following Percutaneous Transhepatic Gallbladder Drainage
Article
10.4235/jkgs.2015.19.4.248
노인병
이혜영
이지영
김영일
장기설
이지영
문지용
김상헌
김태형
손장원
박동원
Lee, Hye Young
Lee, Ji Young
Kim, Young Il
Chang, Ki Sul
Yhi, Ji Young
Moon, Ji-Yong
Kim, Sang-Heon
Kim, Tae Hyung
Sohn, Jang Won
Park, Dong Won
2015041647
S
COLLEGE OF MEDICINE[S]
DEPARTMENT OF MEDICINE
dongwonpark