Treatment of hydatid bronchobiliary fistulas: 30 years of experience

Tocchi, A; Mazzoni, Gianluca; Miccini, Michelangelo; Drumo, Andrea; Cassini, Diletta; Colace, Lidia; Tagliacozzo, S

doi:10.1111/j.1478-3231.2007.01435.x

Cited by 53 publications

(38 citation statements)

References 16 publications

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“…It is difficult to diagnose and requires a high clinical index of suspicion. The fistula may be caused by liver abscess, 2 hepatic hydatids, 3 hepatic tumors, following radiofrequency thermal ablation of hepatic tumors, post liver resection, chronic pancreatitis and rarely as a late complication of transcatheter arterial embolization.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous bronchobiliary fistula following laparotomy for ruptured hydatid cyst of the liver

et al. 2014

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Cutaneous bronchobiliary fistula is a rare and an uncommon but severe complication of the hydatid cyst of the liver. Treatment has traditionally been surgical resection. We hereby describe a case of a 55-year-old male who had undergone exploratory laparotomy with peritoneal lavage for ruptured right hepatic lobe hydatid cyst 1 year back. During the postoperative course, the patient came to the outpatient department of our hospital complaining of leakage of purulent exudate through a cutaneous opening located above the umbilicus in midline, pain in the right hypochondrium radiating to the right hemithorax, malaise, fever and chronic productive cough. Fistulography revealed a convoluted cavity communicating with a residual cystic cavity on the right hepatic lobe with the right bronchial tree. We observed communication with the intrahepatic canaliculi. Computed tomographic scan revealed a fistulous tract on the anterior liver border through the abdominal wall. There were no post-treatment complications. The patient is asymptomatic.

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Section: Discussionmentioning

confidence: 99%

Cutaneous bronchobiliary fistula following laparotomy for ruptured hydatid cyst of the liver

et al. 2014

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“…Surgery still remains the treatment of choice in cases of BBF secondary to Echinococcosis. The approach, most of the time, is right postero-lateral thoracotomy, however in few cases a thoraco-abdominal approach may be mandatory to access complex and multiple cysts [6,16]. A two-stage approach can be used as suggested by Gugenheim [2].…”

Section: Discussionmentioning

confidence: 99%

“…In patients with biliary obstruction, the priority is treatment of the biliary disease. This is best achieved by a transabdominal approach [16]. The principles according to Ferguson and Burford [17] for successful management of a BBF include:…”

Section: Discussionmentioning

confidence: 99%

Broncho-Biliary Fistula Due to Hydatid Disease: Case Report

Yeheyis¹,

Tamire²

2017

J Clin Case Rep

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A Broncho Biliary Fistula (BBF) is a rare complication of echinococcosis. This occurs from rupture of a hydatid cyst located at the upper surface of the liver into the bronchial tree. Fistulisation, results in biliopytsis, which is expectoration of bile-tinged greenish-yellow sputum, a pathognomonic feature of BBF. Bilopytsis may also occur in other conditions such as hepatectomies, liver abscesses or trauma. Surgical fistula closure is the definitive management of these patients, however downstream biliary obstruction should be ruled out first. Almost all cases can be approached through a right postero-lateral thoracotomy followed by phrenotomy. However, if there are multiple cysts in the liver, a thoraco-abdominal incision may be necessary.

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“…BBF is a complicated surgical problem because it is characterised by a complex of pathological lesions involving organs in continuity in the thoracic and abdominal cavities as well as the interposed diaphragm. The characteristics of the primary cystic lesions, the site and seriousness of diaphragmatic and pulmonary secondaries, and the frequency of biliary complications affect our surgical approach to BBF [13].…”

Section: Discussionmentioning

confidence: 99%

A recurrent cyst hydatic abscess fistulised to the bronchial tree

Değer¹

2012

CMJ

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Human cystic echinococcosis is a zoonosis transmitted by ingesting Ecchinococcus granulosus ova eliminated from infected dogs. A 41-year-old man was admitted to the hospital with symptoms of abdominal tenderness located in the epigastric region, fever and vomiting. .We diagnosed a recurrent hydatic disaese and after admission to our hospital he began to cough with greenyellowish colored sputum with abscess. Posteroanterior chest X-ray and right pleural US revealed no fluid collection but right lower lung atelectasis and diaphragma elevation. With these results we performed an operation for broncho-biliary fistula. He was discharged from the hospital on the ninth postoperative day. Careful assessment and early treatment of septic complications are essential in the successful treatment of this rare condition. Keywords: Bronchobiliary fistula, echinococcosis ÖzetEkinokoka bağlı kist hidatik hastalığı enfekte olmuş köpeklerin dışkısından alınan echinocococcus granulosus yumurtasının sindirilmesi ile geçer. 41 yaşında bir erkek hasta epigastrik bölgede olan hassasiyet, ateş ve kusma ile hastanemize kabul edildi. Yapılan tetkikler sonucunda nüks kist hidatik absesi teşhisi konularak yatırılan hasta tedavi altında iken abse içeriği olan sarı-yeşil renkte balgamlı öksürmeye başladı. PA akciğer grafisinde ve sağ plevral US'de sıvı saptanmadı ve sağ akciğer alt lob atelektazisi ve diyafram elevasyonu tespit edildi. Bu bulgularla bronkobiliyer fistül tanısıyla hasta ameliyata alındı. Postoperatif dokuzuncu günde hasta taburcu edildi. Bu nadir görülen durumun başarılı tedavisi için septik komplikasyonların dikkatli değerlendirme ve erken tedavisi önem arz etmektedir. Anahtar sözcükler: Bronkobiliyer fistül, ekinokokkozisGeliş tarihi

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Treatment of hydatid bronchobiliary fistulas: 30 years of experience

Abstract: The better outcome achieved in TA patients is the result of the simultaneous radical treatment of all the pathological aspects of BBF.

Cited by 53 publications

References 16 publications

Cutaneous bronchobiliary fistula following laparotomy for ruptured hydatid cyst of the liver

Cutaneous bronchobiliary fistula following laparotomy for ruptured hydatid cyst of the liver

Broncho-Biliary Fistula Due to Hydatid Disease: Case Report

A recurrent cyst hydatic abscess fistulised to the bronchial tree

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