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Revista americana de medicina respiratoria

On-line version ISSN 1852-236X


GRASSI, Fernando et al. Empiema torácico como complicación de la colecistectomía laparoscópica: comunicación de un caso y revisión bibliográfica. Rev. am. med. respir. [online]. 2015, vol.15, n.3, pp.237-240. ISSN 1852-236X.

In the laparoscopic cholecystectomy, accidental spill of bile duct stones into the abdominal cavity can occur more frequently than in the conventional cholecystectomy. The incidence of this complication is estimated to range between 2 to 30%, but only 12% of them have shown thoracic involvement. Pleural effusion during the immediate postoperative period of upper abdominal surgery is common but usually minimal and self-limited. When it persists, a sample should be taken to study its cause. This report is about a patient who presented a pleural empyema three months after a programmed laparoscopic cholecystectomy. He underwent a video-assisted thoracoscopic decortication and was treated with antibiotics. The patient showed a good evolution. Our hypothesis is that the thoracic infection would be the result of the formation of a subphrenic abscess which ends draining through the diaphragm into the pleural cavity. Diagnostic thoracentesis of pleural effusion is essential to clarify its cause. We presented in this report an uncommon form of pleural empyema, which is a rare complication of abdominal surgery.

Keywords : Pleural effusion; Gallstones; Empyema; Laparoscopic cholecystectomy.

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