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Thoracic empyema due to migrated gallstones
1Department of Internal Medicine, Hospital General Regional de Zona 1, Unidad Morelos, Instituto Mexicano del Seguro Social (IMSS), Chuihuahua, Chihuahua, Mexico. rflores99@prontomail.com
Annals of Hepatology
|February 12, 2013
Summary
Migrated gallstones can cause thoracic empyema, a rare complication after laparoscopic cholecystectomy. This case highlights the importance of considering hepatobiliary conditions in right pleural effusion diagnosis.
Area of Science:
- Hepatology
- Thoracic Surgery
- Infectious Diseases
Background:
- Right pleural effusion necessitates consideration of hepatobiliary conditions in differential diagnosis.
- Laparoscopic cholecystectomy is a common procedure for gallstone disease.
Observation:
- A case of thoracic empyema caused by migrated gallstones is presented.
- The patient had undergone laparoscopic cholecystectomy one year prior.
Findings:
- Gallstones were unexpectedly retrieved during thoracentesis using an Abrams needle.
- This represents a rare complication of cholecystectomy, involving gallstone migration.
Implications:
- Highlights a rare but serious complication of laparoscopic cholecystectomy.
- Emphasizes the need for vigilance in diagnosing pleural effusions, considering unusual causes.
- Suggests potential for gallstone migration into the thoracic cavity post-surgery.
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