Cholethorax (Bilious Effusion in the Thorax): An Unusual Complication of Laparoscopic Cholecystectomy

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dc.contributor.authorAydogan, Akin
dc.contributor.authorErden, Ersin Sukru
dc.contributor.authorAkkucuk, Seckin
dc.contributor.authorDavran, Ramazan
dc.contributor.authorYetim, Ibrahim
dc.contributor.authorOzkan, Orhan Veli
dc.date.accessioned2024-09-18T20:08:23Z
dc.date.available2024-09-18T20:08:23Z
dc.date.issued2013
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractCholethorax or bilious effusion in the thorax, is a rare condition in which bile passes into the pleural space from the abdominal cavity, necessitating urgent treatment. In this article, we present a case of cholethorax as a complication of laparoscopic cholecystectomy (LC). The patient underwent a LC due to the presence of a gallbladder polyp. The clip attached to the Hartman opened, and the abdominal cavity became contaminated with binary fluid. Postoperatively, the patient experienced severe right upper quadrant pain and dyspnea. Both the posteroanterior (PA) chest radiography and thoracic computed tomography (CT) were remarkable for marked effusion in the right hemithorax. The patient underwent thoracentesis which resulted in the removal of 250 cc bilious pleural effusion. The bilirubin level of the pleural fluid was 9.1 mg/dL. Following thoracentesis, the patient experienced significant improvement in dyspnea and pain. The patient was discharged without any complications on the seventh day postoperatively. Cholethorax may occur as a result of diaphragmatic injuries secondary to a laparoscopic instrument and can be successfully treated by a thoracentesis.en_US
dc.identifier.endpage490en_US
dc.identifier.issn1029-2977
dc.identifier.issue8en_US
dc.identifier.pmid23906257en_US
dc.identifier.scopus2-s2.0-84883242044en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage489en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8801
dc.identifier.volume16en_US
dc.identifier.wosWOS:000326303800010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAcad Medical Sciences I R Iranen_US
dc.relation.ispartofArchives of Iranian Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCholethoraxen_US
dc.subjectcomplicationen_US
dc.subjectlaparoscopic cholecystectomyen_US
dc.subjectpleural effusionen_US
dc.subjectthoracentesisen_US
dc.titleCholethorax (Bilious Effusion in the Thorax): An Unusual Complication of Laparoscopic Cholecystectomyen_US
dc.typeArticleen_US

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