Percutaneous Transhepatic Biliary Drainage Complicated by Bilothorax

Stephanie H. Kim; Steven M. Zangan

doi:10.1055/s-0034-1396965

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2015; 32(01): 054-056
DOI: 10.1055/s-0034-1396965

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Transhepatic Biliary Drainage Complicated by Bilothorax

Stephanie H. Kim

¹Pritzker School of Medicine, University of Chicago, Chicago, Illinois

,

Steven M. Zangan

²Department of Radiology, University of Chicago, Chicago, Illinois

› Author Affiliations

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is a well-established and safe technique for the management of biliary obstructions and leaks. While approach is variable based on operator preference, patient anatomy, and indications; PTBD is commonly performed via a right-sided intercostal route. With a right-sided approach, pleural complications may be encountered. The authors describe a case of a right PTBD complicated by a leak into the pleural space, with the subsequent development of bilothorax.

Keywords

transhepatic biliary drainage - bilothorax - pleural - complication - interventional radiology

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References

References
1 Lorenz JM, Funaki B, Leef JA, Rosenblum JD, Van Ha T. Percutaneous transhepatic cholangiography and biliary drainage in pediatric liver transplant patients. AJR Am J Roentgenol 2001; 176 (3) 761-765
2 Funaki B, Zaleski GX, Straus CA , et al. Percutaneous biliary drainage in patients with nondilated intrahepatic bile ducts. AJR Am J Roentgenol 1999; 173 (6) 1541-1544
3 Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 2010; 21 (6) 789-795
4 Nichols DM, Cooperberg PL, Golding RH, Burhenne HJ. The safe intercostal approach? Pleural complications in abdominal interventional radiology. AJR Am J Roentgenol 1984; 142 (5) 1013-1018
5 Turkington RC, Leggett JJ, Hurwitz J, Eatock MM. Cholethorax following percutaneous transhepatic biliary drainage. Ulster Med J 2007; 76 (2) 112-113
6 Strange C, Allen ML, Freedland PN, Cunningham J, Sahn SA. Biliopleural fistula as a complication of percutaneous biliary drainage: experimental evidence for pleural inflammation. Am Rev Respir Dis 1988; 137 (4) 959-961
7 Truong V, Huaringa A. Infected bile in the bellows: a case of pyocholethorax. Internet J Pulm Med 2013; 15 (1) . Available at: http://ispub.com/IJPM/15/1/1482. Accessed September 15, 2014