Bronchobiliary fistula and cholangiocarcinoma: a case report and principles of management.
A 64-year-old woman was admitted with fever and cough. At admission, she had jaundice, hepatomegaly, and green-stained sputum. Computed tomography (CT) showed an intrahepatic abscess located near the dome, multiple hepatic metastases, biliary tract dilatation, and a right pleural effusion. Percutaneous transhepatic cholangiography demonstrated a communication between the intrahepatic biliary ducts and the bronchial tree. The patient was treated with antibiotic therapy, pleural and biliary drainages and a percutaneous drainage of the hepatic abscess.
Delande
S
S
Centre du Cancer, Medical oncology Unit, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
Goffette
P
P
Verbaandert
C
C
Rahier
J
J
Graux
C
C
Mazzeo
F
F
Humblet
Y
Y
Machiels
J P
JP
D001650:Bile Duct Neoplasms / Q000473:pathology; D001653:Bile Ducts, Intrahepatic; D001658:Biliary Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D001983:Bronchial Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D018281:Cholangiocarcinoma / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged