A RARE CASE OF BRONCHOBILIARY FISTULA
Abstract
Bronchobiliary fistula represents abnormal fistulous communication between pleuroparenchymal and hepatobiliary system. For the past 30 yrs, only 68 cases of bronchobiliary fistula have been reported worldwide emphasizing the rarity of the condition . Here we report a case of 43yr male with hepatic abscess initially had hemoptysis later complicated with bilioptysis.The abscess was seen rupturing into right pleural space demonstrated in right pleural space confirmed by ERCP images which demonstrated the spillage of dye from right intra hepatic biliary system into right pleural space. Following which a stent was placed in the right intrahepatic biliary system. Patient showed clinical improvement and became symptom free. He is stable for past 3 months and on regular follow up. Our presentation highlights the need for careful elicitation of history and clinical examination of the sputum with timely intervention in the management of such complicated cases.
Full Text:
PDFReferences
Liao GQ et al Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years. World J Gastroenterol. 2011 September 7; 17(33): 3842–384
Hatice Eryigit et al Management of acquired bronchobiliary fistula: case reports and a literature review
Journal of Cardiothoracic Surgery 2007, 2:52 doi:10.1186/1749 -8090-2-52
M H Modishi et al Amoebic liver abscess with pleuropulmonary complications and enlarged gallbladder
South African Journal of Radiology, Vol 8, No 4 (2004)
Bhugwan Singh et al Conservative management of thoracobiliary fistula. Ann Thorac Surg 2004;78:1512-1513
Jeremy W. Cannon et al Thoracoabdominal War Wounds Complicated by Thoracobiliary Fistulae: A Report of Cases Managed Over the Past Eighteen Years and a Review of the Literature J Surg Rad July 2011, Volume-2, pages 207-326
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University