Bronchobiliary fistula due to acute cholecystitis in a suprahepatic gall bladder.
We describe a patient presenting with painless jaundice, anorexia and pruritus. The gall bladder was found to be lying above and behind a hypoplastic right lobe of liver. There was no evidence of cholangitis or biliary obstruction. The patient subsequently developed a bronchobiliary fistula with severe wheeze, cough and bile-stained sputum. Emergency percutaneous drainage of the gall bladder led to immediate cessation of bronchospasm and biloptysis, rendering the patient fit for definitive surgery.
Allison
M C
MC
Academic Department of Medicine, Royal Free Hospital, London, UK.
Milkins
S
S
Burroughs
A K
AK
Rogers
H S
HS
Thomas
H C
HC
D000208:Acute Disease; D001658:Biliary Fistula / Q000209:etiology* / Q000473:pathology; D001659:Biliary Tract / Q000002:abnormalities* / Q000473:pathology; D001983:Bronchial Fistula / Q000209:etiology* / Q000473:pathology; D002764:Cholecystitis / Q000150:complications* / Q000473:pathology; D005704:Gallbladder / Q000002:abnormalities; D006801:Humans; D008099:Liver / Q000002:abnormalities* / Q000473:pathology; D008297:Male; D008875:Middle Aged