A rare pleural effusion in a young male

Begum, Shabana; Mukherjee, Subhasis; Biswas, Debabrata; Misra, Amartya Kumar; Ghosh, Priyanka; Bhanja, Pulakesh

doi:10.4103/0970-2113.159589

Cited by 3 publications

(1 citation statement)

References 15 publications

(27 reference statements)

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“…Right-sided pleural effusion is accompanied by a large proportion of biloma and bleeding in patients with traumatic injury to the liver. When liver injury is healed and inflammatory response in the diaphragm decreases due to reductions in fluid in the abdominal cavity, pleural effusion disappears[ 4 , 5 ]. Percutaneous pleural effusion drainage is a common procedure to remove pleural effusion that exacerbates atelectasis and impedes breathing.…”

Section: Discussionmentioning

confidence: 99%

Massive hemothorax due to intercostal arterial bleeding after percutaneous catheter removal in a multiple-trauma patient: A case report

Park¹,

Lee²

2021

WJCC

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BACKGROUND Intercostal arterial bleeding is unusual complication of percutaneous chest procedures. However, intercostal arterial bleeding is likely to result in critical complications such as abnormalities in vital signs, hypovolemic shock, and death due to massive bleeding. Therefore, it is very important to establish the diagnosis of intercostal arterial bleeding and to initiate treatment. CASE SUMMARY We report a case in which a 59-year-old woman who was hospitalized at intensive care unit with multiple trauma had a massive hemothorax after the removal of a percutaneous catheter. She sustained a refractory right pleural effusion due to biloma caused by a traumatic injury to the liver, despite persistent intraperitoneal drainage. As a result, atelectasis persisted in the dependent portion of the right lung. Therefore, we performed right percutaneous catheter drainage (8.5-F pigtail catheter) for pleural effusion drainage at the 7 th intercostal space. After percutaneous catheter removal, portable chest radiography and vital signs of the patient assisted in establishing a diagnosis of intercostal arterial bleeding. Intercostal arterial bleeding was also confirmed using transarterial angiography; and embolization was performed. The patient’s condition progressively improved, and no further intervention was required. CONCLUSION Massive hemothorax is a rare complication of percutaneous catheter removal. Clinicians should carefully examine and diagnose patients to improve prognosis. And interventional selective angiography may be a feasible and minimally invasive treatment for intercostal arterial bleeding control.

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Section: Discussionmentioning

confidence: 99%

Massive hemothorax due to intercostal arterial bleeding after percutaneous catheter removal in a multiple-trauma patient: A case report

Park¹,

Lee²

2021

WJCC

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Thoracobiliary Fistula Complications Following Concomitant Diaphragm and Liver Injury

Kim,

Sadowsky,

Woodyard De Brito

et al. 2025

Journal of Surgical Research

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Bilothorax: A Case Report and Systematic Literature Review of the Rare Entity

Acharya,

Kafle,

Sedhai

et al. 2024

Pulmonary Medicine

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Background. Bilothorax is defined as the presence of bile in the pleural space. It is a rare condition, and diagnosis is confirmed with a pleural fluid‐to‐serum bilirubin ratio of >1. Methods. The PubMed, Embase, Google Scholar, and CINAHL databases were searched using predetermined Boolean parameters. The systematic literature review was done per PRISMA guidelines. Retrospective studies, case series, case reports, and conference abstracts were included. The patients with reported pleural fluid analyses were pooled for fluid parameter data analysis. Results. Of 838 articles identified through the inclusion criteria and removing 105 duplicates, 732 articles were screened with abstracts, and 285 were screened for full article review. After this, 123 studies qualified for further detailed review, and of these, 115 were pooled for data analysis. The mean pleural fluid and serum bilirubin levels were 72 mg/dL and 61 mg/dL, respectively, with a mean pleural fluid‐to‐serum bilirubin ratio of 3.47. In most cases, the bilothorax was reported as a subacute or remote complication of hepatobiliary surgery or procedure, and traumatic injury to the chest or abdomen was the second most common cause. Tube thoracostomy was the main treatment modality (73.83%), followed by serial thoracentesis. Fifty‐two patients (51.30%) had associated bronchopleural fistulas. The mortality was considerable, with 18/115 (15.65%) reported death. Most of the patients with mortality had advanced hepatobiliary cancer and were noted to die of complications not related to bilothorax. Conclusion. Bilothorax should be suspected in patients presenting with pleural effusion following surgical manipulation of hepatobiliary structures or a traumatic injury to the chest. This review is registered with CRD42023438426.

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A rare pleural effusion in a young male

Cited by 3 publications

References 15 publications

Massive hemothorax due to intercostal arterial bleeding after percutaneous catheter removal in a multiple-trauma patient: A case report

Massive hemothorax due to intercostal arterial bleeding after percutaneous catheter removal in a multiple-trauma patient: A case report

Thoracobiliary Fistula Complications Following Concomitant Diaphragm and Liver Injury

Bilothorax: A Case Report and Systematic Literature Review of the Rare Entity

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