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Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula

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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[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.
[7] Johnson, M. M., Chin, J. R., & Haponik, E. F. (1996). Thoracobiliary fistula. Southern medical journal, 89 (3), 335-339.
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[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.
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Cite This Article
  • 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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    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
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    Y1  - 2019/12/10
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    N1  - https://doi.org/10.11648/j.ass.20190702.11
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    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    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
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Author Information
  • Department of Anesthesiology, Barra Mansa Wholy House of Mercy Hospital, Barra Mansa, Rio de Janeiro, Brazil

  • University Centre of Volta Redonda, UniFOA, Volta Redonda, Rio de Janeiro, Brazil

  • Department of Anesthesia at the Pedro Ernesto University Hospital, RJ, Brazil

  • Vale Imagem Radiology Department of Wholy House of Mercy Hospital, Barra Mansa, Rio de Janeiro, Brazil

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