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Surgery often brings rare and life-threatening conditions to light. One such unusual complication is a hepatico-broncho-pleural fistula (HBPF) — a condition where an abscess in the liver ruptures through the diaphragm into the pleural cavity and lung. If untreated, this can lead to severe infection, respiratory failure, and even death.

Here, I present a rare and challenging case of a young middle-aged male with an amoebic liver abscess that ruptured into the pleural cavity and lung, successfully treated with advanced surgical intervention at my center in Hubli.

What is Laparoscopic Surgery?

Laparoscopic surgery is a revolutionary minimally invasive surgical technique that allows surgeons to operate with small incisions, minimal scarring, and quicker recovery. This method uses a laparoscope—a thin, high-definition camera—to provide a detailed view of internal organs while performing surgery with specialized instruments.