[Bilateral hydatid bilio-bronchial fistula].
BACKGROUND
Bilio-bronchial fistula of hydatid origin is a rare but serious complication of hepatic hydatid cyst, the treatment of which is now well established.


METHODS
We report a case of bilateral bilio-bronchial fistula, successfully managed by bilateral thoracotomy with an interval of one week, and complicated by dyspnoea that resolved quickly.


CONCLUSIONS
If the indication for thoracotomy is indisputable in case of unilateral bilio bronchial fistula, an initial laparotomy should be considered in the case of bilateral bilio-bronchial fistula.
Smahi
M
M
Service de Chirurgie thoracique, hôpital Ibn Sina, CHU Rabat-Salé, Maroc. smct71@yahoo.fr
Serraj
M
M
Achir
A
A
Msougar
Y
Y
Benosman
A
A
D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001999:Bronchoscopy; D004417:Dyspnea / Q000209:etiology; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed