흉강담도루는 흔하지 않지만 가끔 경피경간담낭배액술 후에 발생할 수 있다. 본 증례는 경피경간담낭배액술 시행 후 발생한 흉강담도루로 진단받은 83세의 한국인 남성에 관련한 것으로, 경구용 담도경을 이용한 내시경적 경유두담낭배액술(SpyGlass DS system)을 통해 담낭 내 압력을 줄여 흉강으로 담즙의 유출을 줄일 수 있었다. 이후 환자는 호전되어 퇴원하였다.

The pleurobiliary fistula was not common but sometimes it could occur after percutaneous transhepatic gallbladder drainage. This report describes the case of an 83-year-old Korean male diagnosed with a pleurobiliary fistula after percutaneous transhepatic gallbladder drainage. The patient was treated with endoscopic transpapillary gallbladder drainage under the guidance of the peroral cholangioscopy with SpyGlass DS system. It can decompress pressure within the gallbladder. Leakage from the gallbladder into the pleura was reduced. Finally, his condition got better and he recovered.

• 민형규(경북대학교병원 내과) | Hyung Gyu Min (Department of Internal Medicine, Kyungpook National University Hospital, Daegu)
• 이은비(경북대학교병원 내과) | Eunbi Lee (Department of Internal Medicine, Kyungpook National University Hospital, Daegu)
• 정민규(경북대학교병원 내과, 경북대학교 의과대학 내과학교실) | Min Kyu Jung (Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea) Corresponding author