Bronchobiliary and Bronchopleural Fistulas
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Pleurobiliary and bronchobiliary fistulas
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(1955)Anatomy and pathology of the subphrenic spaces
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(1958)The intrathoracic complications of subphrenic abscess
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Cited by (60)
Chapter 42 - Biliary fistulae and strictures
2016, Blumgart's Surgery of the Liver, Biliary Tract and Pancreas: Sixth EditionA new diagnostic approach for bilious pleural effusion
2016, Respiratory InvestigationCitation Excerpt :As described in Fig. 1, with regard to other possible pathophysiologies, the collection of bile acid in the abdominal cavity, with or without biliary tract obstruction, can cause secondary infection or peritonitis. This can lead to a communicating pathway to the pleural cavity [22], especially in the recesses of the posterior subphrenic space [23]. Physicians should be aware of the fact that bile acid is an intense chemo-irritant [3], that can cause extensive pleural inflammation and provide a favorable medium for bacterial growth [8].
Black pleural effusion
2013, American Journal of MedicineCitation Excerpt :Bilious pleural effusion is a rare complication of biliary tract disorders. Causes of a biliopleural fistula include thoracoabdominal trauma,22,23 parasitic liver disease,24,25 suppurative complications of biliary tract obstruction, postoperative strictures of bile ducts,26 liver biopsy,27 internal stent,28 and percutaneous biliary drainage for an obstructed biliary system.29,30 Nichols et al31 reported that pleural and diaphragmatic penetration is usually unavoidable during intercostal puncture because of the great depth of the pleural sinus beneath the lung margin.
Biliary fistulae
2012, Blumgart's Surgery of the Liver, Biliary Tract and PancreasEndoscopic management of biliopleural fistula and biloma after percutaneous radiofrequency ablation of liver metastasis
2007, Gastrointestinal EndoscopyCitation Excerpt :It should be moreover noted that all cases of symptomatic bilomas or fistulas developed in patients with central hepatic lesions6 or large tumors7 because of damage to large intrahepatic bile ducts.8 The surgical approach required thoracicoabdominal exploration9,10 to perform debridement, ductal repair, and controlled drainage of the biliary system. The percutaneous approach has obvious advantages, obviating general anesthesia and the morbidity associated with major surgery.11
Presented at the Thirteenth Annual Meeting of The Society of Thoracic Surgeons, Jan 24-26, 1977, San Francisco, CA.