Korean J Gastrointest Endosc.  2004 Mar;28(3):151-155.

A Case of Iatrogenic Bronchobiliary Fistula

Affiliations
  • 1Department of Internal Medicine, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. hbchae@med.chungbuk.ac.kr
  • 2Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
  • 3Department of General Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
  • 4Deparment of Internal Medicine, College of Medicine, Konkuk University, Chungju, Korea.

Abstract

Bronchobiliary fistula is a rare condition. It is defined by the presence of a passage between the biliary tract and the bronchial tree. Many conditions can give rise to the developement of such a communication. The patient was a 71-year-old man who had obstructive jaundice due to liver mass. At first, we inserted an uncovered metallic stent for biliary drainage. However, the bile duct was perforated due to the trapping of a catheter in the distal end of the deployed stent. The operation was performed immediately, but only the sump draingage was placed in the retroperitoneum because the perforation site could not be found. After 20 days from the procedure, the patient complained of bilioptysis because of a bronchobiliary fistula. We inserted a covered stent into the previous uncovered metallic stent. Bilioptysis rapidly resolved after the successful procedure. We report a case of iatrogenic bronchobiliary fistula which was managed by endoscopic biliary stenting.

Keyword

Bronchobiliary fistula; Bile duct perforation; Metallic biliary stent
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