Bronchobiliary fistula after hepatic resection for metastatic colon cancer

Abstract

A patient is described with colon cancer and liver metastases who developed a bronchobiliary fistula 2 years after hepatic resection. The diagnostic approach and clinical management are presented and the literature is reviewed.

Bronchobiliary Fistula After Hepatectomy for Hepatocellular Carcinoma

“…However, surgical exploration is often difficult and carries a high risk. Moreover, further operation may be needed in some cases (5,6). Therefore, nonsurgical interventional management including percutaneous abscess drainage, endoscopic sphincterotomy, nasobiliary drainage, and biliary endoprostheses alone or in combination has recently been advocated as the first therapeutic option (7,8).…”

Confident Diagnosis of Bronchobiliary Fistula Using Contrast-Enhanced Magnetic Resonance Cholangiography

“…Diagnosing a BBF is conducted based on the clinical symptom of bilioptysis (bile-stained sputum) (1-5). CT is the first line imaging technique for the investigation of the chest and upper abdomen.…”

Minimally invasive treatment of patients with bronchobiliary fistula: a case series

“…Therefore, the diagnosis is based on clinical symptoms as well as clinical history. The underlying factors are hepatic trauma, previous hepatobiliary surgery, hydatid disease, and other hepatic disorders [2,3]. There are still no definite guidelines for the optimal management of this rare condition because most of the reports on BBF are only in the form of case reports.…”