Recurrent bronchobiliary fistula: unsuccessful management with repeated insertion of metallic biliary stent.
This case of a recurrent bronchobiliary fistula was first managed temporarily with repeated metallic biliary stent placement, and finally required surgery. A 65-year-old man, who had undergone a hepatic resection for metastatic colon carcinoma, with a bronchobiliary fistula was treated with metallic biliary stent placement for a stenosis in the common bile duct. During 16 months of follow-up, the biliptysis recurred twice by a recurrent stricture of the common bile duct, which was managed by placement of a second and third stent in a coaxial manner. Three months after placement of the third stent, jaundice developed and the patient finally underwent a Roux-en-Y choledochojejunostomy.
Jung
Sung Il
SI
Department of Radiology, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea.
Goo
Jin Mo
JM
Han
Joon Koo
JK
Jang
Jin Young
JY
Lee
Kuhn Uk
KU
Lee
Kyoung Ho
KH
Im
Jung-Gi
JG
D000368:Aged; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000473:pathology; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008670:Metals; D012008:Recurrence; D015607:Stents; D017211:Treatment Failure
D008670:Metals