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A RARE CASE OF BRONCHOBILIARY FISTULA

GAYATHRI .

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.


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References


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