Combined thoracic and hepatobiliary surgery for iatrogenic bronchobiliary fistula

Asian Cardiovasc Thorac Ann. 2018 Jan;26(1):63-66. doi: 10.1177/0218492317745747. Epub 2017 Nov 27.

Abstract

Bronchobiliary fistula is a rare pathology mainly caused by hepatic tumors, bile duct obstruction, or hepatic hydatid disease. A 70-year-old man developed a bronchobiliary fistula after biliary stenting. After failure of conservative treatment including endoscopic retrograde biliary drainage, he underwent a combined operation with a two-level approach. Both a thoracotomy and laparotomy were performed, allowing pulmonary resection, diaphragmatic repair, and bile duct reconstruction during the same operation. Postoperative follow-up at one year showed optimal healing of the fistula.

Keywords: Biliary fistula; Bronchial fistula; Foreign body migration; Respiratory tract fistula; Stents.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biliary Fistula / diagnostic imaging
  • Biliary Fistula / etiology
  • Biliary Fistula / surgery*
  • Biopsy
  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / etiology
  • Bronchial Fistula / surgery*
  • Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
  • Cholangiopancreatography, Endoscopic Retrograde / instrumentation
  • Cholestasis / diagnostic imaging
  • Cholestasis / etiology
  • Cholestasis / therapy*
  • Device Removal
  • Drainage / adverse effects*
  • Drainage / instrumentation
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery*
  • Humans
  • Iatrogenic Disease*
  • Male
  • Pneumonectomy*
  • Stents
  • Thoracotomy*
  • Treatment Outcome
  • Wound Healing