Publication:
Late onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report

dc.creatorYu, Edward Yi-Yung;Yang, Fei-Shih;Chiu, Yu-Jen;Tsaii, Fuu-Jen;Lu, Chi-Cheng;Yang, Jai-Sing
dc.date2018-02-26
dc.date.accessioned2020-01-06T08:35:44Z
dc.date.accessioned2025-07-27T15:02:10Z
dc.date.available2020-01-06T08:35:44Z
dc.date.issued2020-01-06T08:35:44Z
dc.description.abstractBiliopleural 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.
dc.format.extent117 bytes
dc.format.mimetypetext/html
dc.identifier.urihttps://ir.ntus.edu.tw/handle/987654321/64180
dc.languagezh_TW
dc.publisherU.S. National Library of Medicine
dc.relationBiomedicine (Taipei), Vol.8, No.1, pp.6
dc.subjectBiliopleural Fistula (BF); Percutaneous Transhepatic Biliary Drainage (PTBD); Neuroendocrine Tumor; Jaundice
dc.titleLate onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report
dc.typearticle
dspace.entity.typePublication

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