Volume 8, Number 1, March 2018
|Number of page(s)||4|
|Published online||26 February 2018|
Late onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report
Department of Radiology, MacKay Memorial Hospital, Taipei 104, Taiwan
2 Department of Radiology, Taitung MacKay Memorial Hospital, Taitung 950, Taiwan
3 Division of Reconstructive and Plastic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan
4 Genetics Center, Department of Medical Research, China Medical University Hospital, Taichung 404, Taiwan
5 School of Chinese Medicine, China Medical University, Taichung 404, Taiwan
6 Department of Medical Genetics, China Medical University Hospital, Taichung 404, Taiwan
7 Department of Pharmacy, Buddhist Tzu Chi General Hospital, Hualien 970, Taiwan
8 Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
* Corresponding author. Department of Pharmacy, Buddhist Tzu Chi General Hospital, No. 707, Sec. 3, Chung-Yang Road, Hualien 970, Taiwan. E-mail address: firstname.lastname@example.org (C.-C. Lu)
** Co-corresponding author. Department of Medical Research, China Medical University Hospital, China Medical University, No. 2, Yuh-Der Road, Taichung 404, Taiwan. E-mail address: email@example.com (J.-S. Yang)
Accepted: 21 November 2017
Biliopleural fistula (BF) and formation of biliopleural effusion is a rare complication following percutaneous transhepatic biliary drainage (PTBD). It occurs when the pleura is traversed by the catheter before entering the bile duct. Biliopleural fistula should be suspected when right side pleural effusion develops following the PTBD procedure. The diagnosis of biliopleural fistula is made when greenish pleural fluid with high concentration of bilirubin is aspirated. Here we present a case where a patient develops a biliopleural fistula following PTBD due to obstructive jaundice caused by neuroendocrine tumor of pancreas. Biliopleural fistula was disclosed after a scheduled catheter replacement procedure. Treatments of biliopleural fistula include thoracentesis with drainage tube installation into pleural space. In addition, a drainage tube was installed through percutaneous transhepatic gallbladder drainage (PTGBD) to reduce the bile induced pressure. Surgical repair of fistula was performed after the conservative treatment was unsuccessful. The patient expired 5 days after surgery due to respiratory failure.
Key words: Biliopleural fistula (BF) / Percutaneous transhepatic biliary drainage (PTBD) / Neuroendocrine tumor / Jaundice
© Author(s) 2018. This article is published with open access by China Medical University
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