392 135

경피적 경간 담낭배액술 이후에 발생한 흉강담도루를 통한 담즙성 흉막 감염 1예

Title
경피적 경간 담낭배액술 이후에 발생한 흉강담도루를 통한 담즙성 흉막 감염 1예
Other Titles
Bilious Pleural Infection via Pleurobiliary Fistula Following Percutaneous Transhepatic Gallbladder Drainage
Author
손장원
Keywords
Biliary fistula; Drainage; Pleural effusion
Issue Date
2015-10
Publisher
대한노인병학회
Citation
노인병, v. 19, NO 4, Page. 248-253
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.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4235/jkgs.2015.19.4.248http://hdl.handle.net/20.500.11754/28040
ISSN
1229-2397; 2288-1239
DOI
10.4235/jkgs.2015.19.4.248
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
경피적 경간 담낭배액술 이후에 발생한 흉강담도루를 통한 담즙성 흉막 감염 1예.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE