title: Biliopleural fistula following gun shot injury in right axilla.
abstract: A biliopleural fistula (BPF) is a rare and atypical manifestation of thoracoabdominal trauma. A stepwise approach for the management is recommended for a successful outcome. We report a case of a 22-year-old man who was referred to our hospital with respiratory discomfort after sustaining a gunshot injury in the right axilla. On investigations he had haemopneumothorax, central liver contusion with perihepatic fluid and a bullet lodged at the level of right renal hilum. He was at first managed by placing a right intercostal tube drain, which initially drained blood and subsequently started draining bile. He was managed successfully with endoscopic biliary stenting, pigtail drainage of subphrenic collection and antibiotics.
authors: Department of General Surgery, PGIMER, Chandigarh, India.
authors: Divya
authors: D
authors: Dahiya
authors: Department of Surgery, PGIMER, Chandigarh, India.
authors: Lileswar
authors: L
authors: Kaman
authors: Department of Surgery, PGIMER, Chandigarh, India.
authors: Arunanshu
authors: A
authors: Behera
mesh_terms: D001365:Axilla / Q000293:injuries; D001658:Biliary Fistula / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000209:etiology* / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000209:etiology* / Q000601:surgery; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000601:surgery; D055815:Young Adult