Bronchobiliary and Bronchopleural Fistulas

Boyd, David P.

doi:10.1016/s0003-4975(10)63443-1

Cited by 63 publications

(37 citation statements)

References 5 publications

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“…Other reports have described fistulas extending through the diaphragm, beyond the pleural space and into the bronchial tree, resulting in cholelithoptysis (expectoration of gallstones) 13 14. Biliopleural fistula with thoracobilia and empyema has also been described 15. Boyd described in 1977 that subphrenic abscesses predictably perforate into the basal segments of the right lower lobe, as occurred in the presented case.…”

Section: Discussionsupporting

confidence: 60%

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

et al. 2014

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We report a case of a 72-year-old man who presented with a persistent pleural effusion and painful abscess in the right lower chest wall 6 months following a laparoscopic cholecystectomy. The patient subsequently developed a chronic cutaneous chest wall fistula requiring a large resection and complex closure. The complication was likely secondary to intraoperative spillage of gallstones. While previous reports describe gallstone spillage in the abdominal cavity as benign, this case illustrates that stones left in the abdominal cavity can potentially lead to significant morbidity. Therefore, stones should be diligently removed from the abdominal cavity when spillage occurs. In addition, it is important that operative notes reflect the occurrence of stone spillage so stones may be suspected when a patient presents with an abdominal or thoracic infection following a cholecystectomy.

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Section: Discussionsupporting

confidence: 60%

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

et al. 2014

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“…Most causes are due to subphrenic abscess or iatrogenic biliary procedures causing diaphragmatic rupture [1-4]. We present a case where retained Jackson-Pratt drains from a previous surgery precipitated diaphragmatic erosion and resultant fistula formation.…”

Section: Introductionmentioning

confidence: 99%

Retained drains causing a bronchoperitoneal fistula: a case report

et al. 2011

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IntroductionBronchoperitoneal fistulas are extremely rare. We present a case where retained surgical drains from a previous surgery resulted in erosion and fistula formation. This condition required an extensive surgical procedure and advanced ventilator techniques.Case presentationA 24-year-old African-American man presented to our Emergency Department with a one-week history of fever, dyspnea, cough, and abdominal pain. A computed tomography scan of his chest and abdomen revealed bilateral lower lobe pneumonia and two retained Jackson-Pratt drains in the right upper quadrant. He was taken to the operating room for drain removal, a right hemicolectomy, debridement of a duodenal injury, a Roux-en-y duodenojejunostomy, and an end ileostomy. He subsequently became increasing hypoxemic in the intensive care unit and a bronchoperitoneal fistula was diagnosed. He required high-frequency oscillatory ventilation followed by lung isolation, and was successfully resuscitated using these techniques.ConclusionTo the best of our knowledge, this is the first known case report of a bronchoperitoneal fistula caused by retained surgical drains. This is also the first known report that details successful management of this condition with advanced ventilatory techniques. This case highlights the importance of follow-up for trauma patients since retained surgical drains have the potential to cause life-threatening complications. When faced with this condition, clinicians should be aware of advanced ventilatory methods that can be employed in the intensive care unit. In this case, these techniques proved to be life-saving.

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“…In a series of 15 patients, Boyd suggested that the fistula will only heal if the subphrenic collection is drained appropriately, however, he warned that the risk of it redeveloping is high. In each instance of his 15 cases, perforation had been in the far posterior portion in the right subphrenic space and into the posterior basal segments of the right lower lobe 4. CT is usually the best imaging modality as it allows characterisation of the type of BPF 5…”

Section: Discussionmentioning

confidence: 99%

Bronchopleural fistula following laparoscopic liver resection

2014

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A rare case is presented of a 58-year-old woman who developed a bronchopleural fistula following a laparoscopic liver resection for a colorectal metastasis. The bronchopleural fistula was finally diagnosed when after repeated admissions for chest infections, the patient coughed up surgical clips. We propose a management plan based on our experience and hope this case report will add to the scarce reports of postoperative bronchopleural fistula cases in the literature.

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Bronchobiliary and Bronchopleural Fistulas

Cited by 63 publications

References 5 publications

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

Chronic cutaneous chest wall fistula and gallstone empyema due to retained gallstones

Retained drains causing a bronchoperitoneal fistula: a case report

Bronchopleural fistula following laparoscopic liver resection

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