Endoscopic management of a bronchobiliary fistula.
A bronchobiliary fistula is a rare entity that manifests as bilioptysis. We report a 73-year-old woman with a hepato-cellular carcinoma who developed a bronchobiliary fistula. Endoscopic biliary sphincterotomy and insertion of a prosthesis led to successful resolution of symptoms and restoration of normal bile flow. We review the pertinent literature and the basis for management.
Khandelwal
M
M
Department of Medicine, Milton S. Hershey Medical Center, Penn State University School of Medicine, Hershey, USA.
Inverso
N
N
Conter
R
R
Campbell
D
D
D000368:Aged; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008113:Liver Neoplasms / Q000150:complications*; D011877:Radionuclide Imaging; D015607:Stents