Biliary-bronchial fistula after right hepatic lobectomy.
Biliary-bronchial fistula is an extremely unusual complication of thoracoabdominal trauma or suppurative hepatobiliary disease. We treated a patient with a biliary-bronchial fistula that developed after right hepatectomy for an infected traumatic intrahepatic hematoma. The diagnosis of biliary-bronchial fistula was confirmed by percutaneous transhepatic cholangiography. Surgical therapy included a primary transabdominal choledochostomy, with the insertion of a T-tube, sphincteroplasty, and open marsupialization of the chronic subphrenic abscess.
D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D002758:Cholangiography / Q000379:methods; D006801:Humans; D008100:Liver Abscess / Q000601:surgery; D008297:Male; D013369:Subphrenic Abscess / Q000601:surgery