胆胸膜瘘：经皮经肝胆道引流的一种罕见并发症。
Biliopleural fistula: a rare complication of percutaneous transhepatic gallbladder drainage.
作者信息
Lee Ming-Tsung, Hsi Sheng-Chuan, Hu Philip, Liu Kuang-Yi
机构信息
Division of General Surgery, Department of Surgery, Armed Forces Taoyuan General Hospital, No.168 Chung-Shin Rd, Taoyuan, Taiwan, China.
出版信息
World J Gastroenterol. 2007 Jun 21;13(23):3268-70. doi: 10.3748/wjg.v13.i23.3268.
Abstract
A 79-year-old previously healthy man presented with acute acalculous cholecystitis with obstruction of the biliary tract. He was successfully treated with antibiotics and percutaneous transhepatic gallbladder drainage, but returned to the hospital two days after discharge with a rare complication of this technique, biliopleural fistula. A thoracostomy tube was inserted to drain the pleural effusion, and the patient's previous antibiotics reinstated. After two weeks of drainage and antibiotics, the fistula healed spontaneously without the need for further intervention.
摘要
一名79岁的既往健康男性因急性非结石性胆囊炎伴胆道梗阻就诊。他接受了抗生素及经皮经肝胆管胆囊引流术治疗，治疗成功，但出院两天后因该技术罕见的并发症——胆胸膜瘘再次入院。插入胸腔引流管以引流胸腔积液，并恢复使用之前的抗生素。经过两周的引流及抗生素治疗，瘘口自行愈合，无需进一步干预。
相似文献
1
Biliopleural fistula: a rare complication of percutaneous transhepatic gallbladder drainage.
World J Gastroenterol. 2007 Jun 21;13(23):3268-70. doi: 10.3748/wjg.v13.i23.3268.
2
Bilothorax as a complication of percutaneous transhepatic biliary drainage.
Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):101-3. doi: 10.1177/0218492315603214. Epub 2015 Aug 20.
3
Biliopleural fistula with cholethorax. A rare complication of percutaneous transhepatic biliary drainage.
Saudi Med J. 2011 Nov;32(11):1189-92.
4
Biliopleural fistula as a complication of percutaneous biliary drainage: experimental evidence for pleural inflammation.
Am Rev Respir Dis. 1988 Apr;137(4):959-61. doi: 10.1164/ajrccm/137.4.959.
5
[Conservative treatment of a traumatic biliopleural fistula].
Acta Chir Belg. 1984 Nov-Dec;84(6):361-3.
6
Late onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report.
Biomedicine (Taipei). 2018 Mar;8(1):6. doi: 10.1051/bmdcn/2018080106. Epub 2018 Feb 26.
7
Biliopleural fistula following gun shot injury in right axilla.
BMJ Case Rep. 2015 Feb 9;2015:bcr2014207454. doi: 10.1136/bcr-2014-207454.
8
Biliopleural fistula as a late complication of percutaneous transhepatic cholangioscopy.
Endoscopy. 2005 Feb;37(2):183. doi: 10.1055/s-2004-826189.
9
Breathlessness after percutaneous biliary drainage.
Postgrad Med J. 2001 Dec;77(914):787, 795. doi: 10.1136/pmj.77.914.787.
10
Cholecystopleural fistula: A case report and literature review.
Medicine (Baltimore). 2024 Aug 16;103(33):e39366. doi: 10.1097/MD.0000000000039366.
引用本文的文献
1
Successful Video-Assisted Thoracoscopic Management of Rare Thoracic Complications After Percutaneous Biliary Drainage: A Report of Two Cases.
Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70105. doi: 10.1111/ases.70105.
2
Anatomical Considerations for Biliary Interventions: Navigating Challenging Cases.
Semin Intervent Radiol. 2025 Apr 10;42(2):166-175. doi: 10.1055/s-0045-1806723. eCollection 2025 Apr.
3
Biliary Breach: A Rare Case of a Biliary Pleural Fistula Without a History of Trauma.
Cureus. 2025 Mar 27;17(3):e81286. doi: 10.7759/cureus.81286. eCollection 2025 Mar.
4
Bilothorax: A Case Report and Systematic Literature Review of the Rare Entity.
Pulm Med. 2024 Jun 21;2024:3973056. doi: 10.1155/2024/3973056. eCollection 2024.
5
Nonoperative management of biliopleural fistula following living-donor liver transplantation: A case report.
Clin Case Rep. 2023 Nov 16;11(11):e8210. doi: 10.1002/ccr3.8210. eCollection 2023 Nov.
6
Biliothorax in a patient with unresectable cholangiocarcinoma.
Respirol Case Rep. 2023 Oct 24;11(11):e01239. doi: 10.1002/rcr2.1239. eCollection 2023 Nov.
7
Gallbladder perforation with fistulous communication.
World J Gastrointest Surg. 2023 Jun 27;15(6):1191-1201. doi: 10.4240/wjgs.v15.i6.1191.
8
Case report: Biliobronchial fistula after biliary tract stenosis.
Front Med (Lausanne). 2022 Dec 16;9:1075745. doi: 10.3389/fmed.2022.1075745. eCollection 2022.
9
Gallbladder: Role of Interventional Radiology.
Semin Intervent Radiol. 2021 Aug;38(3):330-339. doi: 10.1055/s-0041-1731371. Epub 2021 Aug 10.
10
Late onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report.
Biomedicine (Taipei). 2018 Mar;8(1):6. doi: 10.1051/bmdcn/2018080106. Epub 2018 Feb 26.
本文引用的文献
1
The diagnosis and management of pleural empyema.
Curr Opin Infect Dis. 1998 Apr;11(2):163-8. doi: 10.1097/00001432-199804000-00013.
2
Octreotide in bronchobiliary fistula management.
Ann Thorac Surg. 2004 Oct;78(4):1512-3; author reply 1513. doi: 10.1016/j.athoracsur.2003.10.137.
3
Early scheduled laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage for patients with acute cholecystitis.
Surg Endosc. 2002 Dec;16(12):1704-7. doi: 10.1007/s00464-002-9004-6. Epub 2002 Sep 6.
4
Pleural effusions after coronary artery bypass graft surgery.
Curr Opin Pulm Med. 2002 Jul;8(4):308-11. doi: 10.1097/00063198-200207000-00011.
5
Conservative management of thoracobiliary fistula.
Ann Thorac Surg. 2002 Apr;73(4):1088-91. doi: 10.1016/s0003-4975(02)03382-9.
6
Bronchobiliary fistula: principles of management.
Ann Thorac Surg. 2000 Oct;70(4):1392-4. doi: 10.1016/s0003-4975(00)01693-3.
7
Percutaneous gallbladder drainage for delayed laparoscopic cholecystectomy in patients with acute cholecystitis.
Am J Surg. 2000 Feb;179(2):111-3. doi: 10.1016/s0002-9610(00)00247-6.
8
Preceding PTGBD decreases complications of laparoscopic cholecystectomy for patients with acute suppurative cholecystitis.
J Laparoendosc Surg. 1996 Jun;6(3):161-5. doi: 10.1089/lps.1996.6.161.
9
Ultrasound-guided puncture of the gallbladder for acute cholecystitis.
Lancet. 1993 May 1;341(8853):1132-3. doi: 10.1016/0140-6736(93)93138-q.
10
Biliopleural fistula as a complication of percutaneous biliary drainage: experimental evidence for pleural inflammation.
Am Rev Respir Dis. 1988 Apr;137(4):959-61. doi: 10.1164/ajrccm/137.4.959.
Zotero 插件