Gallbladder perforation with cholecystopleural fistula: a case report

Authors

  • Pamela Garza-Báez Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
  • David Muñoz-Leija Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
  • Bernardo A. Fernandez-Reyes Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
  • Alejandro Quiroga-Garza Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico http://orcid.org/0000-0002-5398-247X
  • Adrian A. Negreros-Osuna Department of Radiology, Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico http://orcid.org/0000-0002-9800-0169

DOI:

https://doi.org/10.18203/2349-2902.isj20214010

Keywords:

Gallbladder perforation, Cholecystopleural fistula, Radiology, Empyema, Case report

Abstract

The cholelithiasis is a common pathology, however, if left untreated may cause a gallbladder perforation (GBP). This complication can include local or generalized biliary spillage, or a fistulous communication to an adjacent organ. We report a case of a patient with cholecystopleural fistula in a 71-year-old male. Complicated cholelithiasis presented fistulous GBP into the right pleura cavity, progressing into an empyema. The diagnosis was made preoperatively with computed tomography, and the patient was treated with a laparoscopic cholecystectomy, thoracostomy tube, and a biliopleural fistulectomy. The postsurgical outcome was satisfactory, with uneventful follow-up 3 weeks after.  

Author Biographies

Pamela Garza-Báez, Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Resident of Radiology in Department of Radiology, Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”,  Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

David Muñoz-Leija, Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Medical student in Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”,  Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Bernardo A. Fernandez-Reyes, Department of Radiolgy, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Medical student in Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”,  Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Alejandro Quiroga-Garza, Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico

Full-time Professor in the Department of Human Anatomy, School of Medicine at the Universidad Autónoma de Nuevo León, Monterrey, México.

Adrian A. Negreros-Osuna, Department of Radiology, Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

Professor of Radiology in Department of Radiology, Facultad de Medicina, Hospital Universitario “Dr. José Eleuterio González”,  Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

References

Elwood DR. Cholecystitis. Surg Clin North Am. 2008;88(6):1241-52.

Portincasa P, Di Ciaula A, De Bari O, Garruti G, Palmieri VO, Wang DQH. Management of gallstones and its related complications. Expert Rev Gastroenterol Hepatol. 2016;10(1):93-112.

Quiroga-Garza A, Alvarez-Villalobos NA, Angeles-Mar HJ, Garcia-Campa M, Muñoz-Leija MA, Salinas-Alvarez Y et al. Localized gallbladder perforation: a systematic review of treatment and prognosis. Hpb. 2021;1934.

Dilek ON, Karasu S, Dilek FH. Diagnosis and Treatment of Gallbladder Polyps: Current Perspectives. Euroasian J Hepato-Gastroenterol. 2019;9(1):40-8.

Kundan M, Chintamani, Kumari A. Gall Bladder Perforation: Still an Enigma in Tropics. Indian J Surg. 2019;81(3):277-83.

Lee MT, Hsi SC, Hu P, Liu KY. Biliopleural fistula: A rare complication of percutaneous transhepatic gallbladder drainage. World J Gastroenterol. 2007;13(23):3268-70.

Cunningham LW, Grobman M, Paz HL, Hanlon CA, Promisloff RA. Cholecystopleural fistula with cholelithiasis presenting as a right pleural effusion. Chest. 1990;97(3):751-2.

Delcò F, Domenighetti G, Kauzlaric D, Donati D, Mombelli G. Spontaneous Biliothorax (Thoracobilia) Following Cholecystopleural Fistula Presenting as an Acute Respiratory Insufficiency. Chest. 1994;106(3):961-3.

Blanton DE, Bream CA, Mandel SR. Gallbladder ectopia. A review of anomalies of position. Amer J Entgenol. 1974;121(2):396-400.

Dilek ON, Karasu S, Dilek FH. Diagnosis and Treatment of Gallbladder Polyps: Current Perspectives. Euroasian J Hepato-Gastroenterology. 2019;9(1):40-8.

Downloads

Published

2021-09-28

Issue

Section

Case Reports