THORACOSCOPIC DIAGNOSIS OF PLEUROLITHIASIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY

被引:30
作者
BRAZINSKY, SA [1 ]
COLT, HG [1 ]
机构
[1] UNIV CALIF SAN DIEGO,MED CTR,DIV PULM & CRIT CARE MED,200 W ARBOR,MC 8380,SAN DIEGO,CA 92103
关键词
D O I
10.1378/chest.104.4.1273
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We describe a patient with right pleuritic chest pain and an enlarging exudative pleural effusion four months after laparoscopic cholecystectomy. Several radiographic imaging procedures and thoracenteses were nondiagnostic. Thoracoscopy, however, revealed bilious concretions in the parietal pleura. Thoracoscopic drainage, lysis of adhesions, and antibiotic treatment of a Klebsiella pneumoniae pleuritis resulted in relief of symptoms.
引用
收藏
页码:1273 / 1274
页数:2
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