FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2894910008> ?p ?o ?g. }

• W2894910008 endingPage "514A" @default.
• W2894910008 startingPage "514A" @default.
• W2894910008 abstract "SESSION TITLE: Disorders of the Pleura 2 SESSION TYPE: Med Student/Res Case Rep Postr PRESENTED ON: 10/09/2018 01:15 pm - 02:15 pm INTRODUCTION: Mirizzi syndrome is a complication that occurs in approximately 1% of patients with gall stones in which the compression of the common bile duct result in an obstructive cholestasis. Pleural effusion induced by biliopleural fistula is a rare complication which can result from penetrating and nonpenetrating abdominal trauma, parasitic liver disease, suppurative biliary tract obstruction, post-operative strictures of bile ducts and percutaneous biliary drainage. A rapid presumptive diagnosis followed by a nondelayed surgical repair is essential for a successful outcome. CASE PRESENTATION: A 71-year-old female presented to our office with complaints of sudden pain in right upper quadrant, radiating to epigastrium, associated with anorexia, jaundice, acolia and intermittent shortness of breath. Laboratories showed a cholestatic pattern and liver ultrasound display a biliary tract with multiple stones in the common bile duct and gallbladder. Three days later patient complained of headache, chills, fever, nausea and right pleuritic chest pain. A chest radiograph showed a right pleural effusion, so thoracentesis was performed presenting biliotorax (BT: 4.9, DHL: 974, Protein: 3.21, pH: 7.44, glucose: 100, and albumin <3). The next day she began respiratory acidosis (pH: 7.29, CO2: 78), despite medical management the patient's condition worsens and underwent to endotracheal intubation. Next step it was performed a chest CT scan which showed right pleural effusion, so VATS with decortication, release of adhesions, and diaphragmatic defect repair was performed. The diaphragmatic defect was not fully repaired so we left chest tube that subsequently was removed. The patient was discharged without complications. DISCUSSION: Actually there are two approaches for biliopleural fistula, the non-operative and the surgical. Non-operative management is based on drainage, antibiotic therapy and radiographic control with failure rate of 38%. The surgical approach consists of VATS, decortication, adherenciolisis, repair of bile leakage and diaphragm, this must be performed in case of conservative treatment failure, sepsis, acute abdomen, trapped lung syndrome, acute respiratory failure or necrotizing pneumonia. CONCLUSIONS: Despite advances in surgery, optimum strategy for biliopleural fistulas remains controversial. An early transthoracic approach seem to reduce the morbidity and mortality in these patients. The lung freed from the diaphragm with decortication and wedge resection of the necrotic pulmonary parenchyma is the prefered method since it leaves less residual space within a contaminated thoracic cavity. Reference #1: Turk J Gastroenterol. 2015 May;26(3):284-5. https://doi.org/10.5152/tjg.2015.3610. Reference #2: BMJ Case Rep. 2015 Feb 9;2015. pii: bcr2014207454. https://doi.org/10.1136/bcr-2014-207454. Reference #3: World J Gastroenterol. 2007 Jun 21;13(23):3268-70. DISCLOSURES: No relevant relationships by Francina Bolanos, source=Web Response No relevant relationships by Julio Herrera-Zamora, source=Web Response No relevant relationships by Diana Rivera, source=Web Response no disclosure on file for Patricio Santillan-Doherty" @default.
• W2894910008 created "2018-10-12" @default.
• W2894910008 creator A5012695018 @default.
• W2894910008 creator A5045760943 @default.
• W2894910008 creator A5050518058 @default.
• W2894910008 creator A5084898106 @default.
• W2894910008 date "2018-10-01" @default.
• W2894910008 modified "2023-10-17" @default.
• W2894910008 title "BILIOPLEURAL FISTULA AS A COMPLICATION IN MIRIZZI SYNDROME" @default.
• W2894910008 doi "https://doi.org/10.1016/j.chest.2018.08.467" @default.
• W2894910008 hasPublicationYear "2018" @default.
• W2894910008 type Work @default.
• W2894910008 sameAs 2894910008 @default.
• W2894910008 citedByCount "0" @default.
• W2894910008 crossrefType "journal-article" @default.
• W2894910008 hasAuthorship W2894910008A5012695018 @default.
• W2894910008 hasAuthorship W2894910008A5045760943 @default.
• W2894910008 hasAuthorship W2894910008A5050518058 @default.
• W2894910008 hasAuthorship W2894910008A5084898106 @default.
• W2894910008 hasConcept C141071460 @default.
• W2894910008 hasConcept C2776212140 @default.
• W2894910008 hasConcept C2776341189 @default.
• W2894910008 hasConcept C2776884468 @default.
• W2894910008 hasConcept C2778456037 @default.
• W2894910008 hasConcept C2778594517 @default.
• W2894910008 hasConcept C2779634585 @default.
• W2894910008 hasConcept C2780852908 @default.
• W2894910008 hasConcept C2780955771 @default.
• W2894910008 hasConcept C2991960855 @default.
• W2894910008 hasConcept C71924100 @default.
• W2894910008 hasConcept C81182388 @default.
• W2894910008 hasConceptScore W2894910008C141071460 @default.
• W2894910008 hasConceptScore W2894910008C2776212140 @default.
• W2894910008 hasConceptScore W2894910008C2776341189 @default.
• W2894910008 hasConceptScore W2894910008C2776884468 @default.
• W2894910008 hasConceptScore W2894910008C2778456037 @default.
• W2894910008 hasConceptScore W2894910008C2778594517 @default.
• W2894910008 hasConceptScore W2894910008C2779634585 @default.
• W2894910008 hasConceptScore W2894910008C2780852908 @default.
• W2894910008 hasConceptScore W2894910008C2780955771 @default.
• W2894910008 hasConceptScore W2894910008C2991960855 @default.
• W2894910008 hasConceptScore W2894910008C71924100 @default.
• W2894910008 hasConceptScore W2894910008C81182388 @default.
• W2894910008 hasIssue "4" @default.
• W2894910008 hasLocation W28949100081 @default.
• W2894910008 hasOpenAccess W2894910008 @default.
• W2894910008 hasPrimaryLocation W28949100081 @default.
• W2894910008 hasRelatedWork W2105303065 @default.
• W2894910008 hasRelatedWork W2383714014 @default.
• W2894910008 hasRelatedWork W2394971521 @default.
• W2894910008 hasRelatedWork W2397639015 @default.
• W2894910008 hasRelatedWork W2421878373 @default.
• W2894910008 hasRelatedWork W2563811869 @default.
• W2894910008 hasRelatedWork W2964342997 @default.
• W2894910008 hasRelatedWork W2977507776 @default.
• W2894910008 hasRelatedWork W2980097699 @default.
• W2894910008 hasRelatedWork W4234175698 @default.
• W2894910008 hasVolume "154" @default.
• W2894910008 isParatext "false" @default.
• W2894910008 isRetracted "false" @default.
• W2894910008 magId "2894910008" @default.
• W2894910008 workType "article" @default.