title: Conservative treatment of bronchobiliary fistula evaluated with magnetic resonance imaging.
abstract: BACKGROUND
  Bronchobiliary fistula (BBF) is a pathological communication between the bronchial system and the biliary tree that presents with bilioptysis. Many conditions can cause its development. There is still no optimal therapy for BBF. Conservative treatment is rarely indicated, as was published before in a few cases.
  
  
  METHODS
  We presented a 71-year-old Caucasian Serbin woman with BBF secondary to previous laparotomy due to multiple echinococcus liver cysts. The diagnosis was established by the presence of bilirubin and bile acids in sputum and magnetic resonance cholangiopancreatography (MRCP). A repeat MRCP performed after conservative procedure, did not reveal fistulous communication.
  
  
  CONCLUSIONS
  We suggest that in small and less severe fistulas between the biliary and the bronchial tract, conservative treatment may be used successfully, and invasive treatment methods are not needed in all patients.
authors.forename: Tatjana N
authors.initials: TN
authors.lastname: Adzić-Vukičević
authors.forename: Ana Z
authors.initials: AZ
authors.lastname: Blanka
authors.forename: Aleksandra M
authors.initials: AM
authors.lastname: Ilić
authors.forename: Snezana V
authors.initials: SV
authors.lastname: Raljević
authors.forename: Ruzica M
authors.initials: RM
authors.lastname: Maksimović
authors.forename: Srdjan P
authors.initials: SP
authors.lastname: Djuranović
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001658:Biliary Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D001983:Bronchial Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D049448:Cholangiopancreatography, Magnetic Resonance; D003131:Combined Modality Therapy; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007262:Infusions, Intravenous; D011237:Predictive Value of Tests; D011859:Radiography; D012720:Severity of Illness Index; D012965:Sodium Chloride / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D012965:Sodium Chloride