Biliary-pleural fistulas without biliary obstruction: percutaneous catheter management

AJR Am J Roentgenol. 1997 Aug;169(2):381-3. doi: 10.2214/ajr.169.2.9242739.

Abstract

Objective: Our purpose was to report the use of percutaneous catheter drainage as a therapeutic option in the management of three patients with biliary-pleural fistulas without biliary obstructions.

Conclusion: In the proper clinical setting, the CT findings of liver dome laceration or abscess, diaphragm disruption, and pleural effusion should suggest biliary-pleural fistula. Percutaneous catheter management can be curative or serve a temporizing function before surgery.

MeSH terms

  • Adult
  • Aged
  • Biliary Fistula / diagnostic imaging
  • Biliary Fistula / etiology
  • Biliary Fistula / therapy*
  • Catheterization*
  • Cholestasis / complications
  • Drainage* / methods
  • Female
  • Fistula / diagnostic imaging
  • Fistula / etiology
  • Fistula / therapy*
  • Humans
  • Male
  • Pleural Diseases / diagnostic imaging
  • Pleural Diseases / etiology
  • Pleural Diseases / therapy*
  • Punctures
  • Suction
  • Tomography, X-Ray Computed