CASE REPORT |
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Year : 2013 | Volume
: 3
| Issue : 1 | Page : 63-65 |
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Empyema: A rare complication of biloma
Nissar Shaikh1, Rashid Mazhar2
1 Consultant, SICU, Hamad Medical Corporation, Weil Connell Medical College, Hamad Medical Corporation, Doha, Qatar 2 Consultant, Department of Cardiology and Cardiothoracic Surgery, Hamad Medical Corporation, Doha, Qatar
Correspondence Address:
Nissar Shaikh Department Anesthesia/ICU, Hamad Medical Corporation, Doha Qatar
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/2278-9596.117135
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Laparoscopic cholecystectomy (LC) has become the standard treatment for symptomatic cholelithiasis. Bile duct injury remains worrisome complication. We report a case of post-LC biloma causing empyema, respiratory distress and sepsis that was managed successfully. A 44-year-old male had bile leak post-LC. Endoscopic retrograde cholangiopancreatography showed common bile duct (CBD) injury. CBD stenting was done. 2 days later he developed severe sepsis due to Klebsiella pneumoniae biloma and empyema. Both were drained by computerized tomographic scan guided pigtail catheter. Empyema required further video-assisted thoracoscopic surgery. Bile leak following LC may progress to biloma and K. pneumoniae empyema with sepsis. Minimal invasive surgical procedure is a helpful and effective treatment. |
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