Successful treatment of intractable bronchobiliary fistula using long-term biliary stenting.
A bronchobiliary fistula (BBF) is an uncommon entity with bilioptysis being a pathognomonic sign. We describe the case of a 41-year-old man who had recurrent BBF, 6 months after resection of the anterior segment of the right lower pulmonary lobe and repair of a BBF due to hepatic hydatid disease. Magnetic resonance cholangiography revealed a communication between the biliary tree and the lower lobe of the right lung. Endoscopic biliary sphincterotomy and repeated insertion of large size biliary plastic stents led to a successful resolution of the symptoms and closure of the fistula.
Katsinelos
Panagiotis
P
Department of Endoscopy and Motility Unit, Central Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. akis_katsinelos@yahoo.gr
Paroutoglou
George
G
Chatzimavroudis
Grigoris
G
Beltsis
Athanasios
A
Mimidis
Kostas
K
Katsinelos
Taxiarchis
T
Pilpilidis
Ioannis
I
Papaziogas
Basilis
B
D000328:Adult; D001658:Biliary Fistula / Q000175:diagnosis / Q000628:therapy*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000628:therapy*; D004444:Echinococcosis, Hepatic / Q000601:surgery; D004445:Echinococcosis, Pulmonary / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence; D016717:Sphincterotomy, Endoscopic; D015607:Stents