Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula

Priscila Alvarenga; Lucas Ferreira Gomes Pereira; Carlos Darcy Alves Bersot; Augusto José Cavalcanti Neto; José Eduardo Guimarães Pereira

doi:doi:10.11648/j.ass.20190702.11

Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula

Priscila Alvarenga, Lucas Ferreira Gomes Pereira, Carlos Darcy Alves Bersot, Augusto José Cavalcanti Neto, José Eduardo Guimarães Pereira

Published in Advances in Surgical Sciences (Volume 7, Issue 2)

Received: 31 October 2019 Accepted: 2 December 2019 Published: 10 December 2019

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Abstract

The literature is sparse about anesthetic management for thoracobiliary fistula (TBF) correction surgeries. A gunshot wound victim to the right thoracoabdominal region presented a green colored secretion draining from the right hemithorax during the postoperative period. Laboratory analysis of the secretion along with ultrasound and CT scan confirmed the clinical suspicion of pleurobiliary fistula (PBF). Laparotomy with diaphragm and liver repair plus thoracic drainage was performed. The patient was discharged home after an uneventful postoperative recovery and returned 15 days later for follow-up visit without complaints. PBF is a clinical condition prone to complications and its recognition along with the differential diagnosis from BBF is important to determine which anesthetic and surgical measures should be taken. Anesthesia for PBF correction should preconize appropriate analgesia and remain vigilant to the risk of cardiovascular instability during fistula correction.

Published in	Advances in Surgical Sciences (Volume 7, Issue 2)
DOI	10.11648/j.ass.20190702.11
Page(s)	29-34
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Biliary Fistula, Bronchial Fistula, Anesthesia

References

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[4]	Amir-Jahed, A. K., Sadrieh, M., Farpour, A., Azar, H., & Namdaran, F. (1972). Thoracobilia: a surgical complication of hepatic echinococcosis and amebiasis. The Annals of thoracic surgery, 14 (2), 198-205.
[5]	Yilmaz, U., Sahin, B., Hilmioglu, F., Tezel, A., Boyacioglu, S., & Cumhur, T. (1996). Endoscopic treatment of bronchobiliary fistula: report on 11 cases. Hepato-gastroenterology, 43 (7), 293-300.
[6]	Flemma, R. J., and W. G. Anlyan. "TUBERCULOUS BRONCHOBILIARY FISTULA. REPORT OF AN UNUSUAL CASE WITH DEMONSTRATION OF THE FISTULOUS TRACT BY PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY." The Journal of thoracic and cardiovascular surgery 49 (1965): 198.
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[9]	Dasmahapatra, H. K., & Pepper, J. R. (1988). Bronchopleurobiliary fistula: a complication of intrahepatic biliary stent migration. Chest, 94 (4), 874-875.
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[12]	Crnjac, A., Pivec, V., & Ivanecz, A. (2013). Thoracobiliary fistulas: literature review and a case report of fistula closure with omentum majus. Radiology and oncology, 47 (1), 77-85.
[13]	Uchikov, A. P., Safev, G. P., Stefanov, C. S., & Markova, D. M. (2003). Surgical treatment of bronchobiliary fistulas due to complicated echinococcosis of the liver: case report and literature review. Folia medica, 45 (4), 22-24.
[14]	Gandhi, N., Kent, T., Kaban, J. M., Stone, M., Teperman, S., & Simon, R. (2009). Bronchobiliary fistula after penetrating thoracoabdominal trauma: case report and literature review. Journal of Trauma and Acute Care Surgery, 67 (5), E143-E145.
[15]	Beslic, S., Zukic, F., & Milisic, S. (2012). Percutaneous transthoracic CT guided biopsies of lung lesions; fine needle aspiration biopsy versus core biopsy. Radiology and oncology, 46 (1), 19-22.
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APA Style

Priscila Alvarenga, Lucas Ferreira Gomes Pereira, Carlos Darcy Alves Bersot, Augusto José Cavalcanti Neto, José Eduardo Guimarães Pereira. (2019). Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Advances in Surgical Sciences, 7(2), 29-34. https://doi.org/10.11648/j.ass.20190702.11

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ACS Style

Priscila Alvarenga; Lucas Ferreira Gomes Pereira; Carlos Darcy Alves Bersot; Augusto José Cavalcanti Neto; José Eduardo Guimarães Pereira. Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Adv. Surg. Sci. 2019, 7(2), 29-34. doi: 10.11648/j.ass.20190702.11

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AMA Style

Priscila Alvarenga, Lucas Ferreira Gomes Pereira, Carlos Darcy Alves Bersot, Augusto José Cavalcanti Neto, José Eduardo Guimarães Pereira. Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Adv Surg Sci. 2019;7(2):29-34. doi: 10.11648/j.ass.20190702.11

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@article{10.11648/j.ass.20190702.11,
  author = {Priscila Alvarenga and Lucas Ferreira Gomes Pereira and Carlos Darcy Alves Bersot and Augusto José Cavalcanti Neto and José Eduardo Guimarães Pereira},
  title = {Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula},
  journal = {Advances in Surgical Sciences},
  volume = {7},
  number = {2},
  pages = {29-34},
  doi = {10.11648/j.ass.20190702.11},
  url = {https://doi.org/10.11648/j.ass.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20190702.11},
  abstract = {The literature is sparse about anesthetic management for thoracobiliary fistula (TBF) correction surgeries. A gunshot wound victim to the right thoracoabdominal region presented a green colored secretion draining from the right hemithorax during the postoperative period. Laboratory analysis of the secretion along with ultrasound and CT scan confirmed the clinical suspicion of pleurobiliary fistula (PBF). Laparotomy with diaphragm and liver repair plus thoracic drainage was performed. The patient was discharged home after an uneventful postoperative recovery and returned 15 days later for follow-up visit without complaints. PBF is a clinical condition prone to complications and its recognition along with the differential diagnosis from BBF is important to determine which anesthetic and surgical measures should be taken. Anesthesia for PBF correction should preconize appropriate analgesia and remain vigilant to the risk of cardiovascular instability during fistula correction.},
 year = {2019}
}

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TY  - JOUR
T1  - Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula
AU  - Priscila Alvarenga
AU  - Lucas Ferreira Gomes Pereira
AU  - Carlos Darcy Alves Bersot
AU  - Augusto José Cavalcanti Neto
AU  - José Eduardo Guimarães Pereira
Y1  - 2019/12/10
PY  - 2019
N1  - https://doi.org/10.11648/j.ass.20190702.11
DO  - 10.11648/j.ass.20190702.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 29
EP  - 34
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20190702.11
AB  - The literature is sparse about anesthetic management for thoracobiliary fistula (TBF) correction surgeries. A gunshot wound victim to the right thoracoabdominal region presented a green colored secretion draining from the right hemithorax during the postoperative period. Laboratory analysis of the secretion along with ultrasound and CT scan confirmed the clinical suspicion of pleurobiliary fistula (PBF). Laparotomy with diaphragm and liver repair plus thoracic drainage was performed. The patient was discharged home after an uneventful postoperative recovery and returned 15 days later for follow-up visit without complaints. PBF is a clinical condition prone to complications and its recognition along with the differential diagnosis from BBF is important to determine which anesthetic and surgical measures should be taken. Anesthesia for PBF correction should preconize appropriate analgesia and remain vigilant to the risk of cardiovascular instability during fistula correction.
VL  - 7
IS  - 2
ER  -

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Author Information

Priscila Alvarenga

Department of Anesthesiology, Barra Mansa Wholy House of Mercy Hospital, Barra Mansa, Rio de Janeiro, Brazil
Lucas Ferreira Gomes Pereira

University Centre of Volta Redonda, UniFOA, Volta Redonda, Rio de Janeiro, Brazil
Carlos Darcy Alves Bersot

Department of Anesthesia at the Pedro Ernesto University Hospital, RJ, Brazil
Augusto José Cavalcanti Neto

Vale Imagem Radiology Department of Wholy House of Mercy Hospital, Barra Mansa, Rio de Janeiro, Brazil
José Eduardo Guimarães Pereira

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Plain Text BibTeX RIS

APA Style

Priscila Alvarenga, Lucas Ferreira Gomes Pereira, Carlos Darcy Alves Bersot, Augusto José Cavalcanti Neto, José Eduardo Guimarães Pereira. (2019). Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Advances in Surgical Sciences, 7(2), 29-34. https://doi.org/10.11648/j.ass.20190702.11

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ACS Style

Priscila Alvarenga; Lucas Ferreira Gomes Pereira; Carlos Darcy Alves Bersot; Augusto José Cavalcanti Neto; José Eduardo Guimarães Pereira. Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Adv. Surg. Sci. 2019, 7(2), 29-34. doi: 10.11648/j.ass.20190702.11

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AMA Style

Priscila Alvarenga, Lucas Ferreira Gomes Pereira, Carlos Darcy Alves Bersot, Augusto José Cavalcanti Neto, José Eduardo Guimarães Pereira. Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula. Adv Surg Sci. 2019;7(2):29-34. doi: 10.11648/j.ass.20190702.11

Copy | Download

@article{10.11648/j.ass.20190702.11,
  author = {Priscila Alvarenga and Lucas Ferreira Gomes Pereira and Carlos Darcy Alves Bersot and Augusto José Cavalcanti Neto and José Eduardo Guimarães Pereira},
  title = {Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula},
  journal = {Advances in Surgical Sciences},
  volume = {7},
  number = {2},
  pages = {29-34},
  doi = {10.11648/j.ass.20190702.11},
  url = {https://doi.org/10.11648/j.ass.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20190702.11},
  abstract = {The literature is sparse about anesthetic management for thoracobiliary fistula (TBF) correction surgeries. A gunshot wound victim to the right thoracoabdominal region presented a green colored secretion draining from the right hemithorax during the postoperative period. Laboratory analysis of the secretion along with ultrasound and CT scan confirmed the clinical suspicion of pleurobiliary fistula (PBF). Laparotomy with diaphragm and liver repair plus thoracic drainage was performed. The patient was discharged home after an uneventful postoperative recovery and returned 15 days later for follow-up visit without complaints. PBF is a clinical condition prone to complications and its recognition along with the differential diagnosis from BBF is important to determine which anesthetic and surgical measures should be taken. Anesthesia for PBF correction should preconize appropriate analgesia and remain vigilant to the risk of cardiovascular instability during fistula correction.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula
AU  - Priscila Alvarenga
AU  - Lucas Ferreira Gomes Pereira
AU  - Carlos Darcy Alves Bersot
AU  - Augusto José Cavalcanti Neto
AU  - José Eduardo Guimarães Pereira
Y1  - 2019/12/10
PY  - 2019
N1  - https://doi.org/10.11648/j.ass.20190702.11
DO  - 10.11648/j.ass.20190702.11
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 29
EP  - 34
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20190702.11
AB  - The literature is sparse about anesthetic management for thoracobiliary fistula (TBF) correction surgeries. A gunshot wound victim to the right thoracoabdominal region presented a green colored secretion draining from the right hemithorax during the postoperative period. Laboratory analysis of the secretion along with ultrasound and CT scan confirmed the clinical suspicion of pleurobiliary fistula (PBF). Laparotomy with diaphragm and liver repair plus thoracic drainage was performed. The patient was discharged home after an uneventful postoperative recovery and returned 15 days later for follow-up visit without complaints. PBF is a clinical condition prone to complications and its recognition along with the differential diagnosis from BBF is important to determine which anesthetic and surgical measures should be taken. Anesthesia for PBF correction should preconize appropriate analgesia and remain vigilant to the risk of cardiovascular instability during fistula correction.
VL  - 7
IS  - 2
ER  -

Copy | Download