Biliary-pleural fistulas without biliary obstruction: percutaneous catheter management.
OBJECTIVE
Our purpose was to report the use of percutaneous catheter drainage as a therapeutic option in the management of three patients with biliary-pleural fistulas without biliary obstructions.


CONCLUSIONS
In the proper clinical setting, the CT findings of liver dome laceration or abscess, diaphragm disruption, and pleural effusion should suggest biliary-pleural fistula. Percutaneous catheter management can be curative or serve a temporizing function before surgery.
Feld
R
R
Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Wechsler
R J
RJ
Bonn
J
J
D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002404:Catheterization; D002779:Cholestasis / Q000150:complications; D004322:Drainage / Q000379:methods; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011677:Punctures; D013396:Suction; D014057:Tomography, X-Ray Computed