Related Experiment Video
Updated: May 14, 2026
05:50
International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Traumatic thoracobiliary (pleurobiliary and bronchobiliary) fistula
Rafael Andrade-Alegre1, Maylin Ruiz-Valdes
1Thoracic Surgery Section, Santo Tomás Hospital, Panamá, Republic of Panama. toravasc@cwpanama.net
Asian Cardiovascular & Thoracic Annals
|February 23, 2013
Summary
Traumatic thoracobiliary fistulas, often from penetrating injuries, require a multidisciplinary approach for successful management. Endoscopic retrograde cholangiography aids diagnosis and treatment of these complex injuries.
Area of Science:
- Trauma Surgery
- Gastroenterology
- Thoracic Surgery
Background:
- Traumatic thoracobiliary fistula is a rare but severe complication.
- This study presents a series of thoracobiliary fistulas resulting from penetrating trauma.
Purpose of the Study:
- To analyze trends in the management of traumatic thoracobiliary fistulas.
- To evaluate diagnostic and therapeutic approaches for these complex injuries.
Main Methods:
- Retrospective review of 5 patients with traumatic thoracobiliary fistula (April 2008-February 2010).
- Patients sustained penetrating trauma (4 gunshot wounds, 1 stab wound).
- Management included chest tube insertion, damage-control surgery, laparotomy, and definitive treatments.
Main Results:
- Initial management involved chest tube insertion in all patients.
- Bronchobiliary and pleurobiliary fistulas were observed.
- Diagnostic tools included CT, MRI, HIDA scans, and ERCP; definitive treatments varied.
Conclusions:
- Traumatic thoracobiliary fistulas are complex lesions necessitating a multidisciplinary approach.
- Endoscopic retrograde cholangiography is valuable for diagnosis and treatment.
- Timely and successful outcomes depend on coordinated care.
Related Concept Videos
01:26Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
01:08Pneumothorax II: Pathophysiology
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
01:24Flail Chest-I
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:25Pleural Effusion I: Introduction
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...