Volume 7, Issue 2, December 2019, Page: 29-34
Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula
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, Department of Anesthesiology, Valença Medical School, Valença, Rio de Janeiro
Received: Oct. 31, 2019;       Accepted: Dec. 2, 2019;       Published: Dec. 10, 2019
DOI: 10.11648/j.ass.20190702.11      View  61      Downloads  25
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.
Keywords
Biliary Fistula, Bronchial Fistula, Anesthesia
To cite this article
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, Advances in Surgical Sciences. Vol. 7, No. 2, 2019, pp. 29-34. doi: 10.11648/j.ass.20190702.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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