Advances in Surgical Sciences

| Peer-Reviewed |

Anesthetics Consideration and Literature Review in Traumatic Biliothoracic Fistula

Received: 31 October 2019    Accepted: 02 December 2019    Published: 10 December 2019
Views:       Downloads:

Share This Article

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.

DOI 10.11648/j.ass.20190702.11
Published in Advances in Surgical Sciences (Volume 7, Issue 2, December 2019)
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), 2024. Published by Science Publishing Group

Keywords

Biliary Fistula, Bronchial Fistula, Anesthesia

References
[1] Graham, J. E. "Observations on Broncho-Biliary Fistula:(With the Reports of Two Cases)." British medical journal 1. 1901 (1897): 1397.
[2] Buxbaum, R. C. (1963). Pleurobiliary fistula complicated by Klebsiella pneumoniae infection. The American Journal of Surgery, 105 (5), 674-676.
[3] Ferguson, T. B., & Burford, T. H. (1967). Pleurobiliary and bronchobiliary fistulas: Surgical management. Archives of Surgery, 95 (3), 380-386.
[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.
[7] Johnson, M. M., Chin, J. R., & Haponik, E. F. (1996). Thoracobiliary fistula. Southern medical journal, 89 (3), 335-339.
[8] Trubowitz, S. (1951). Bronchobiliary fistula in Hodgkin's disease. AMA archives of internal medicine, 88 (3), 400-405.
[9] Dasmahapatra, H. K., & Pepper, J. R. (1988). Bronchopleurobiliary fistula: a complication of intrahepatic biliary stent migration. Chest, 94 (4), 874-875.
[10] Warren, K. W., Christophi, C., Armendariz, R., & Basu, S. (1983). Surgical treatment of bronchobiliary fistulas. Surgery, gynecology & obstetrics, 157 (4), 351-356.
[11] Gugenheim, J., Ciardullo, M., Traynor, O., & Bismuth, H. (1988). Bronchobiliary fistulas in adults. Annals of surgery, 207 (1), 90.
[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.
[16] Gümüştaş, S., Inan, N., Akansel, G., Çiftçi, E., Demirci, A., & Özkara, S. (2012). Differentiation of malignant and benign lung lesions with diffusion-weighted MR imaging. Radiology and oncology, 46 (2), 106-113.
[17] Mann, C. D., Johnson, N. A., Metcalfe, M. S., Neal, C. P., Harrison, R. F., Berry, D. P., & Dennison, A. R. (2007). Cholecystobronchial fistula secondary to adenomyomatosis of the gallbladder. Annals of the Royal College of Surgeons of England, 89 (6), W14.
[18] Memis A, Oran I, Parildar M. Use of histoacryl and a covered nitinol stent to treat a bronchobiliary fistula. Journal of vascular and interventional radiology: JVIR. 2000; 11 (10): 1337-40.
[19] Richter H, Gaston J, Valdivieso E, Castillo C, Harz C, Saenz R, Navarrete C. Endoscopic Management of Bronchobiliary Fistula. Gastrointestinal Endoscopy. 2007 Apr 1; 65 (5): AB223.
[20] Mitchell, J (2007 January 10) Thoracic anaesthesia. Anaesthesia UK. Retrieved from https://www.frca.co.uk/article.aspx?articleid=100675
[21] Hartog A, Mills G. Anaesthesia for hepatic resection surgery. Continuing Education in Anaesthesia, Critical Care & Pain. 2009 Feb 1; 9 (1): 1-5.
[22] Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. Journal of Surgical Research. 2015 Oct 1; 198 (2): 441-9.
[23] Nimmo SM, Harrington LS. What is the role of epidural analgesia in abdominal surgery?. Continuing Education in Anaesthesia, Critical Care & Pain. 2014 Apr 10; 14 (5): 224-9.
[24] Extracted from WHO Surgical Site Infection Prevention Guidelines: https://www.who.int/infection-prevention/publications/ssi-web-appendices/en/. Direct link: https://www.who.int/gpsc/appendix14.pdf?ua=1
[25] Mohan S, Kaoutzanis C, Welch KB, Vandewarker JF, Winter S, Krapohl G, Lampman RM, Franz MG, Cleary RK. Postoperative hyperglycemia and adverse outcomes in patients undergoing colorectal surgery: results from the Michigan surgical quality collaborative database. International journal of colorectal disease. 2015 Nov 1; 30 (11): 1515-23.
[26] Ramnarine IR, Mulpur AK, McMahon MJ, Thorpe JA. Pleuro-biliary fistula from a ruptured choledochal cyst. European journal of cardio-thoracic surgery. 2001 Feb 1; 19 (2): 216-8.
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

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

    Copy | Download

    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

    Copy | Download

    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://download.sciencepg.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

  • Sections