[Hepatobronchial fistula caused by intrahepatic bile duct carcinoma].
A 49-year-old female was complaining of persistent cough. CT-scan revealed abscess in the right hepatic lobe. Diagnostic percutaneous trans-hepatic abscessography disclosed hepatobronchial fistula, and biopsy of the lesion revealed intrahepatic bile duct carcinoma. She underwent right hepatic lobectomy, right pulmonary lower lobectomy and partial resection of the diaphragm, with removal of the fistulous tract. After operation, cough disappeared, but she died of intraabdominal hemorrhage, 40 days after operation.
Department of Surgery, Hyogo National Hospital, Kobe, Japan.
M
M
Yasufuku
H
H
Yamamoto
H
H
Yamamoto
R
R
Aogauchi
A
A
Sasada
K
K
Hanioka
D000230:Adenocarcinoma / Q000150:complications*; D001650:Bile Duct Neoplasms / Q000150:complications*; D001653:Bile Ducts, Intrahepatic; D001983:Bronchial Fistula / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008100:Liver Abscess / Q000150:complications; D008107:Liver Diseases / Q000209:etiology*; D008875:Middle Aged