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Cholelithoptysis and pleural empyema

, : Cholelithoptysis and pleural empyema. Annals of Thoracic Surgery 68(1): 254-255, July

We report a case of delayed cholelithoptysis and pleural empyema caused by gallstone spillage at the time of laparoscopic cholecystecomy. An occult subphrenic abscess developed, and the patient became symptomatic only after trans-diaphragmatic penetration occurred. This resulted in expectoration of bile, gallstones, and pus. Spontaneous decompression of the empyema occurred because of a peritoneo-pleuro-bronchial fistula. This is the first case of such managed nonoperatively and provides support for the importance of intraoperative retrieval of spilled gallstones at the time of laparoscopic cholecystectomy.


PMID: 10421159

DOI: 10.1016/s0003-4975(99)00498-1

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