Bronchobiliary fistulae as a complication of untreated pulmonary hydatid cyst presenting with bilioptysis: A report of two cases

Abstract

Cystic echinococcosis (CE) is a universal endemic larval infection that mainly involves the lung and liver 1,2 but can occur in various organs. 3 Bronchobiliary fistulae (BBF) is a highly uncommon complication of untreated hydatid cyst, and patients mainly present with bilioptysis. 4 Clinical manifestation of bilioptysis can attain the diagnosis of BBF, and therapeutic options may include surgical or safer non-surgical modalities. 5 We presented two patients with lung and liver hydatid cysts with BBF. In the current report, we share our experience treating this rare entity. | CASE PRESENTATION | Case 1A 45-year-old lady was admitted to our hospital due to dyspnea, fever, productive cough, and green sputum

Multiple Hepatic Hydatid Cysts With Cysto-Biliary Communication and Broncho-Biliary Fistula: A Pediatric Case Report

“…In non-complicated patients with less severe fistulas, noninvasive techniques such as cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiography (PTCD) are preferable over traditional surgical techniques. 9 Frequently, the pulmonary lesions caused by hepatic hydatid disease are minimal and situated in the lower or middle pulmonary lobes. 5 This explains why doctors only use an abdominal approach to treat thoracic-involved hepatic hydatid cysts.…”

Bronchobiliary fistula caused after percutaneous transhepatic biliary drainage treatment: A case report

“…Due to the multiple organ dysfunction including the thoracic and abdominal cavities, the prognosis of patients with BBF tends to a poor prognosis. [ 12 , 13 ] Therefore, the diagnosis and treatment of BBF are significant challenges for clinicians. [ 5 ]…”