Brazinsky S A, Colt H G
Division of Pulmonary and Critical Care Medicine, University of California, San Diego Medical Center 92103.
Chest. 1993 Oct;104(4):1273-4. doi: 10.1378/chest.104.4.1273.
We describe a patient with right pleuritic chest pain and an enlarging exudative pleural effusion four months after laparoscopic cholecystectomy. Several radiographic imaging procedures and thoracenteses were nondiagnostic. Thoracoscopy, however, revealed bilious concretions in the parietal pleura. Thoracoscopic drainage, lysis of adhesions, and antibiotic treatment of a Klebsiella pneumoniae pleuritis resulted in relief of symptoms.
我们描述了一名患者，其在腹腔镜胆囊切除术后四个月出现右侧胸膜炎性胸痛和渗出性胸腔积液不断增大。多项影像学检查和胸腔穿刺均未能明确诊断。然而，胸腔镜检查发现壁层胸膜有胆汁结石。胸腔镜下引流、粘连松解以及针对肺炎克雷伯菌胸膜炎的抗生素治疗使症状得到缓解。
