Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   AUGUST 2013 , Volume 16 , Number 8; Page(s) 489 To 490.
 
Paper: 

CASE REPORT: CHOLETHORAX (BILIOUS EFFUSION IN THE THORAX): AN UNUSUAL COMPLICATION OF LAPAROSCOPIC CHOLECYSTECTOMY

 
 
Author(s):  AYDOGAN AKIN, ERDEN ERSIN SUKRU, AKKUCUK SECKIN*, DAVRAN RAMAZAN, YETIM IBRAHIM, OZKAN ORHAN VELI
 
* DEPARTMENT OF GENERAL SURGERY, MUSTAFA KEMAL UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF GENERAL SURGERY, 31100 HATAY, TURKEY
 
Abstract: 

Cholethorax or bilious effusion in the thorax, is a rare condition in which bile passes into the pleural space from the abdominal cavity, necessitating urgent treatment. In this article, we present a case of cholethorax as a complication of laparoscopic cholecystectomy (LC). The patient underwent a LC due to the presence of a gallbladder polyp. The clip attached to the Hartman opened, and the abdominal cavity became contaminated with biliary fluid. Postoperatively, the patient experienced severe right upper quadrant pain and dyspnea. Both the posteroanterior (PA) chest radiography and thoracic computed tomography (CT) were remarkable for marked effusion in the right hemithorax. The patient underwent thoracentesis which resulted in the removal of 250 cc bilious pleural effusion. The bilirubin level of the pleural fluid was 9.1 mg/dL. Following thoracentesis, the patient experienced significant improvement in dyspnea and pain. The patient was discharged without any complications on the seventh day postoperatively. Cholethorax may occur as a result of diaphragmatic injuries secondary to a laparoscopic instrument and can be successfully treated by a thoracentesis.

 
Keyword(s): CHOLETHORAX, COMPLICATION, LAPAROSCOPIC CHOLECYSTECTOMY, PLEURAL EFFUSION, THORACENTESIS
 
References: 
  • ندارد
 
  pdf-File tarjomyar Yearly Visit 102
 
Latest on Blog
Enter SID Blog