title: Transhepatic embolisation of a traumatic broncho-biliary fistula: a novel approach.
abstract: Bronchobiliary fistula is a rare and challenging condition that most commonly presents worldwide following infection with hydatid cystic disease of the liver but is increasingly seen in cases of trauma involving the right upper quadrant. The most common presenting complaint is biliptysis. Treatment is initially aimed at decompressing the biliary tree which allows a considered approach for closure of the fistulous tract. Options range from conservative management to endoscopic and percutaneous approaches. Traditionally definitive treatment would have been surgical and may ultimately have resulted in hepatic and/or pulmonary segmentectomy. Current management strategies of this potentially serious condition are variable. We describe a particularly challenging case in which interventional embolisation with microcoils was used in an attempt to treat persistent post-traumatic bronchobiliary fistula in a tertiary centre. We describe this technique and hope that it is may be of useful reference for those contemplating a similar approach.
authors.affiliation: Department of Interventional Radiology, University Hospital Birmingham, Birmingham, UK. h_mehrzad@hotmail.com
authors.forename: Homoyoon
authors.initials: H
authors.lastname: Mehrzad
authors.forename: Akhmid
authors.initials: A
authors.lastname: Aziz
authors.forename: Kamarjit
authors.initials: K
authors.lastname: Mangat
mesh_terms: D000007:Abdominal Injuries / Q000150:complications; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D008099:Liver / Q000293:injuries; D011030:Pneumothorax / Q000150:complications; D014682:Vena Cava, Inferior / Q000293:injuries