Ann Hepatobiliary Pancreat Surg.  2018 May;22(2):169-172. 10.14701/ahbps.2018.22.2.169.

Two cases of bronchobiliary fistula: Case report

Affiliations
  • 1Center for Liver Cancer, National Cancer Center, Goyang, Korea. sshan@ncc.re.kr

Abstract

A bronchobiliary fistula, or a biliobronchial fistula (BBF), is a rare condition. It results from an abnormal connection between the biliary and bronchial trees, and is characterized by pathognomonic bilious sputum with suspicious pneumonia. Traditionally, an infectious disease, such as a hydatid infection, has been known to cause a BBF, but BBFs have recently become associated with tumors. In every case, procedures and treatments differ between centers, from simple conservative management to invasive surgical procedures. This case report presents two patients who had BBF after liver resection. Symptoms of each patients were treated and controlled successfully by percutaneous transhepatic biliary drainage tube insertion. We hope that this report helps in the management of BBF in other cases.

Keyword

Bronchobiliary fistula; PTBD

MeSH Terms

Communicable Diseases
Drainage
Fistula*
Hope
Humans
Liver
Pneumonia
Sputum
Trees

Figure

  • Fig. 1 Postoperative follow-up computed tomography (CT) shows small fluid collection (arrow) near operation site.

  • Fig. 2 CT scan at emergency room shows pneumonic infiltration and previous fluid collection.

  • Fig. 3 (A, B) PTBD cholangiography shows a cavity of fluid collection and the bronchial tree (arrow).


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