Korean J Gastrointest Endosc.  1997 Apr;17(2):220-225.

Biliary Tract & Pancreas; Bronchobiliary Fistula Secondary to Hepatic Resection: Treatment by endoscopic retrograde biliary drainage

• Kim YS
• Cho SW
• Hahm KB
• Kim JH
• Hong SJ
• Moon YS
• Lee KJ

Abstract

Bronchobiliary fistula (BBF) is a rare disorder, defined as opening of a passage between the bronchial tree and the biliary tract and presence of bile in the sputum (biloptysis). BBF usually occurs either in the congenital form or following multiple causes, including mainly thoracoabdominal trauma, liver abscess, parasitic liver disease, choledocholithiasis, and post operative biliary stenosis. The cardinal clinical features were respiratory symptoms, jaundice, and cholangitis. Management of fistula is often very difficult and can be associated with high morbidity and mortality rates. Early recognition and proper management are essential to avoid a fatal outcome. To date, surgery has been favored as the most efficient therapeutic option, although percutmeous approaches, and more recently, endoscopic sphincterotomy and stent insertion, have succeeded in resolving certain kind of BBF. We are reporting a case of BBF secondary to hepatic resection of hepatocelluar carcinoma which was managed by endoscopic retrograde biliary stenting for keeping optimal bile drainage and surgical operation for resection of recurred tumor and removal of subphrenic abscess,

Keyword

Bronchobiliary fistula; Hepatic resection; Endoscopic biliary drainage

MeSH Terms

Bile
Biliary Tract*
Cholangitis
Choledocholithiasis
Constriction, Pathologic
Drainage*
Fatal Outcome
Fistula*
Jaundice
Liver Abscess
Liver Diseases, Parasitic
Mortality
Pancreas*
Sphincterotomy, Endoscopic
Sputum
Stents
Subphrenic Abscess