Published: 2021-09-28

Gallbladder perforation with cholecystopleural fistula: a case report

Pamela Garza-Báez, David Muñoz-Leija, Bernardo A. Fernandez-Reyes, Alejandro Quiroga-Garza, Adrian A. Negreros-Osuna


The cholelithiasis is a common pathology, however, if left untreated may cause a gallbladder perforation (GBP). This complication can include local or generalized biliary spillage, or a fistulous communication to an adjacent organ. We report a case of a patient with cholecystopleural fistula in a 71-year-old male. Complicated cholelithiasis presented fistulous GBP into the right pleura cavity, progressing into an empyema. The diagnosis was made preoperatively with computed tomography, and the patient was treated with a laparoscopic cholecystectomy, thoracostomy tube, and a biliopleural fistulectomy. The postsurgical outcome was satisfactory, with uneventful follow-up 3 weeks after.  


Gallbladder perforation, Cholecystopleural fistula, Radiology, Empyema, Case report

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