Bronchobiliary fistula after hemihepatectomy:: cholangiopancreaticography, computed tomography and magnetic resonance cholangiography findings

被引:19
作者
Oettl, C [1 ]
Schima, W [1 ]
Metz-Schimmerl, S [1 ]
Függer, R [1 ]
Mayrhofer, T [1 ]
Herold, CJ [1 ]
机构
[1] Univ Vienna, AKH, Dept Radiol, A-1090 Vienna, Austria
关键词
bronchobiliary fistula; hemihepatectomy; bilioptyses; complication;
D O I
10.1016/S0720-048X(99)00038-8
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A bronchobiliary fistula (BBF), which is defined by an abnormal communication between the biliary system and the bronchial tree, is an uncommon complication after hemihepatectomy, trauma, hydatid disease, choledocholithiasis and other causes of biliary obstruction. We report the case of a 56-year-old man with colon cancer. who developed a BBF 2 months after right hemihepatectomy for liver metastases. The findings at endoscopic retrograde cholangiopancreaticography (ERCP), computed tomography (CT) and magnetic resonance cholangiography (MRC) included a stricture of the common bile duct and biliary leakage from the liver resection plane with biliary infiltration of the right lower lobe of the lung. The patient was treated successfully by endoscopic insertion of a biliary plastic stent which bridged the stricture and lead to closure of the fistula. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:211 / 215
页数:5
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