Bilothorax as an endoscopic retrograde cholangiopancreatography complication and a review of the literature.

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-09-30 eCollection Date: 2024-10-01 DOI:10.1002/rcr2.70035
Hamza Azam, Mohammed Affan Guliyara, Bapti Roy
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引用次数: 0

Abstract

Bilothorax, the accumulation of bile in the pleural space, is an uncommon but serious condition often linked to biliary tract or diaphragmatic injury. This case report describes a 70-year-old female with decompensated liver cirrhosis due to primary sclerosing cholangitis, who developed a moderate sized pleural effusion following ERCP and biliary stenting. The patient's pleural effusion persisted for 2 months without respiratory symptoms, indicating a self-limited low-volume leak. She eventually underwent thoracentesis for a non-resolving unilateral effusion, which drained 435 mL of bilious fluid with an elevated pleural fluid bilirubin level, confirming the diagnosis of bilothorax. This case highlights the importance of considering bilothorax as a cause of pleural effusion in patients with biliary tract disease and who undergo high risk procedures including ERCP.

内镜逆行胰胆管造影术并发症之双气胸及文献综述。
胆气胸是指胆汁积聚在胸膜腔内,是一种不常见的严重疾病,通常与胆道或膈肌损伤有关。本病例报告描述了一名因原发性硬化性胆管炎导致肝硬化失代偿的 70 岁女性患者,在接受 ERCP 和胆道支架术后出现中等大小的胸腔积液。患者的胸腔积液持续了 2 个月,没有出现呼吸道症状,表明这是一种自限性低容量渗漏。最终,她因单侧积液未消退而接受了胸腔穿刺术,排出了 435 毫升胆汁性积液,胸腔积液胆红素水平升高,确诊为胆气胸。本病例强调,对于胆道疾病患者和接受 ERCP 等高风险手术的患者,将胆气胸作为胸腔积液的原因之一非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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