Cholelithoptysis and pleural empyema

被引：22

作者：

Chopra, P

Killorn, P

Mehran, RJ

机构：

[1] Univ Ottawa, Dept Surg, Ottawa, ON, Canada

[2] Univ Ottawa, Dept Thorac Surg, Ottawa, ON, Canada

[3] Montfort Hosp, Ottawa, ON, Canada

来源：

ANNALS OF THORACIC SURGERY | 1999年 / 68卷 / 01期

关键词：

D O I：

10.1016/S0003-4975(99)00498-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of delayed cholelithoptysis and pleural empyema caused by gallstone spillage at the time of laparoscopic cholecystecomy. An occult subphrenic abscess developed, and the patient became symptomatic only after trans-diaphragmatic penetration occurred. This resulted in expectoration of bile, gallstones, and pus. Spontaneous decompression of the empyema occurred because of a peritoneo-pleuro-bronchial fistula. This is the first case of such managed nonoperatively and provides support for the importance of intraoperative retrieval of spilled gallstones at the time of laparoscopic cholecystectomy. (C) 1999 by The Society of Thoracic Surgeons.

引用

页码：254 / 255

页数：2