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
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