BibTex RIS Kaynak Göster

Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury

Yıl 2011, Cilt: 2 Sayı: 2, 30 - 31, 01.04.2011

Öz

Thoracobiliary fistula (TBF) is a rare but highly serious complication of thoraco-abdominal trauma. The most significant factor in the early diagnosis of TBF is considered to be a laceration of the diaphragm and accompanied mostly by hepatic injury in the trauma of lower thoracic region. Fever, chills, biliptysis, abdominal and chest pain, pleural effusion, hepatomegaly and leucocytosis are among the most common presenting symptoms of TBF. Existence of indirect biliribun in sputum and/or pleural fluid is also supporting agents in the diagnosis. Even though there exist no optimal management of TBF, surgical and conservative approaches in its management are available. In cases where TBF treatment is started late, development of bile empyema with acute necrotizing bile bronchiolitis, pneumonia and sepsis is inevitable. In this article, a biliary-bronchial fistula case, which developed as a late complication after a gunshot injury and resulted in mortality, is presented

Kaynakça

  • Posacıoğlu H, Şen S, Çıkırıkçıoğlu M, Taylan İ, Soydemir H, Koşar A, et al. Ateşli silah yaralanmasına bağlı oluşan torakobili- yer fistüllerin tanı ve tedavisi. [Article in Turkish] Ulus Travma Acil Cerrahi Derg 2000;6:61-5.
  • Navsaria PH, Adams S, Nicol AJ. Traumatic thoracobiliary fistu- lae. Ann Thorac Surg 2002;73: 1088-91.
  • Sing H, Moodley J, Sheik-Gafoor MH, Dhooma N, Reddi A. Con- servative management of thoracobiliary fistula. Ann Thorac Surg 2002;73:1088-91.

Ateşli Silah Yaralanması Sonrası Geç Dönemde Gelişen Torakobiliyer Fistül Olgusu

Yıl 2011, Cilt: 2 Sayı: 2, 30 - 31, 01.04.2011

Öz

Torakobiliyer fistül (TBF) nadir ancak torako-abdominal
travmanın ciddi bir komplikasyonudur. TBF’nin erken tanısında
en önemli faktör, alt torasik bölge travmasında diyafram laserasyonu
ve eşlik eden hepatik yaralanmadan şüphenilmesidir. Ateş,
titreme, bilipitizi, karın ve göğüs ağrısı, plevral effüzyon, hepatomegali
ve lökositoz en yaygın başvuru semptomlarıdır. Balgam ve/
veya plevral sıvıda indirekt bilirubin varlığı tanıyı destekler. TBF
tedavisi için optimum bir yöntem olmamakla birlikte, cerrahi ve
konservatif yaklaşımlar mevcuttur. TBF tedavisinde geç kalınırsa,
safra ampiyemi ile akut nekrotizan safra bronşiyoliti, pnömoni ve
sepsis kaçınılmazdır. Bu yazıda ateşli silah yaralanma sonrası geç
dönemde gelişen ve mortal seyreden bir torakobiliyer fistül olgusu
sunulmaktadır.

Kaynakça

  • Posacıoğlu H, Şen S, Çıkırıkçıoğlu M, Taylan İ, Soydemir H, Koşar A, et al. Ateşli silah yaralanmasına bağlı oluşan torakobili- yer fistüllerin tanı ve tedavisi. [Article in Turkish] Ulus Travma Acil Cerrahi Derg 2000;6:61-5.
  • Navsaria PH, Adams S, Nicol AJ. Traumatic thoracobiliary fistu- lae. Ann Thorac Surg 2002;73: 1088-91.
  • Sing H, Moodley J, Sheik-Gafoor MH, Dhooma N, Reddi A. Con- servative management of thoracobiliary fistula. Ann Thorac Surg 2002;73:1088-91.
Toplam 3 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA43CV28ZC
Bölüm Case Report
Yazarlar

Mehmet Ergin Bu kişi benim

Mahmut Tokur Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2011
Gönderilme Tarihi 1 Nisan 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 2 Sayı: 2

Kaynak Göster

APA Ergin, M., & Tokur, M. (2011). Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury. Journal of Emergency Medicine Case Reports, 2(2), 30-31.
AMA Ergin M, Tokur M. Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury. Journal of Emergency Medicine Case Reports. Nisan 2011;2(2):30-31.
Chicago Ergin, Mehmet, ve Mahmut Tokur. “Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury”. Journal of Emergency Medicine Case Reports 2, sy. 2 (Nisan 2011): 30-31.
EndNote Ergin M, Tokur M (01 Nisan 2011) Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury. Journal of Emergency Medicine Case Reports 2 2 30–31.
IEEE M. Ergin ve M. Tokur, “Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury”, Journal of Emergency Medicine Case Reports, c. 2, sy. 2, ss. 30–31, 2011.
ISNAD Ergin, Mehmet - Tokur, Mahmut. “Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury”. Journal of Emergency Medicine Case Reports 2/2 (Nisan 2011), 30-31.
JAMA Ergin M, Tokur M. Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury. Journal of Emergency Medicine Case Reports. 2011;2:30–31.
MLA Ergin, Mehmet ve Mahmut Tokur. “Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury”. Journal of Emergency Medicine Case Reports, c. 2, sy. 2, 2011, ss. 30-31.
Vancouver Ergin M, Tokur M. Thoracobiliary Fistula Developing At a Late Stage After a Gushot Injury. Journal of Emergency Medicine Case Reports. 2011;2(2):30-1.