Consentimiento Informado

López-Falcony, Rodrigo

doi:10.35366/93499

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The case was managed with biliary stent placement. 26 López-Garnica et al 25 also reported a 44-year-old male patient with nonalcoholic fatty liver disease and cirrhosis due to methotrexate use, who underwent LTx from a deceased donor, presenting with abdominal pain, nausea, and diarrhea 1 month after surgery. The patient was diagnosed with a case of BPF based on pleural effusion drainage consistent with bile fluid characteristics.…”

Section: Discussionmentioning

confidence: 99%

Nonoperative management of biliopleural fistula following living‐donor liver transplantation: A case report

Kazemi,

Rasekhi,

Nazari

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageBiliopleural fistula is a rare but serious complication after liver transplantation that should be managed nonoperatively with antibiotics, pleural drainage, decompression of high‐pressure biliary tract, or ultimately surgery in unresponsive cases.AbstractBilious pleural effusion is a rare entity often iatrogenic, following hepatobiliary surgeries and biliary interventions, and has been reported only in a limited number of patients after liver transplantation. A 5‐year‐old girl underwent living donor liver transplantation due to progressive familial intrahepatic cholestasis. At the 7th day of the postoperative course, due to increased liver enzymes and bilirubin levels and intrahepatic bile duct dilatation on sonography, Magnetic Resonance Cholangiopancreaticography followed by a liver biopsy were performed; the findings demonstrated moderate intrahepatic bile duct dilatation and moderate cellular rejection associated with mild cholestasis, respectively. The patient was therefore administered a pulse of methylprednisolone; however, due to fever, peritonitis and also sonographic evidence of infected biloma collection adjacent to the transplanted liver, the patient underwent surgery. Laparotomy and peritoneal washout were performed and a Jackson‐Pratt drain was inserted adjacent to the liver cut surface. Succeeding tachypnea on 28th post day, led to detection of right side massive pleural effusion on chest Xray and hence thoracostomy tube was inserted. A diagnosis of biliopleural fistula was established and broad‐spectrum intravenous antibiotic therapy was started, followed by cholangiography, fistula closure, and bile duct stricture ballooning and internal‐external biliary catheter insertion. The patient was discharged in generally good condition on the 50th posttransplant day. The diagnosis of biliopleural fistula is facilitated with the utilization of chest imaging and pleural fluid analysis, however, a high index of suspicion is required.

show abstract

Section: Discussionmentioning

confidence: 99%