Korean Journal of Gastrointestinal Endoscopy 1997;17(2): 220-225.
증례 : 담도 췌장 ; 간절제술 후 발생한 기관지 담도 누공 1예 ( Case Reports : Biliary Tract & Pancreas ; Bronchobiliary Fistula Secondary to Hepatic Resection - Treatment by endoscopic retrograde biliary drainage - )
김영수, 조성원, 함기백, 김진홍, 홍사준, 문영수, 이광재 (Young Soo Kim, Sung Won Cho, Ki Baik Hahm, Jin Hong Kim, Sa Joon Hong, Young Soo Moon and Kwang Jae Lee)
Abstract
Bronchobiliary fistula (BBF) is a rare disorder, defined as opening of a passage between the bronchial tree and the biliary tract and presence of bile in the sputum (biloptysis). BBF usually occurs either in the congenital form or following multiple causes, including mainly thoracoabdominal trauma, liver abscess, parasitic liver disease, choledocholithiasis, and post operative biliary stenosis. The cardinal clinical features were respiratory symptoms, jaundice, and cholangitis. Management of fistula is often very difficult and can be associated with high morbidity and mortality rates. Early recognition and proper management are essential to avoid a fatal outcome. To date, surgery has been favored as the most efficient therapeutic option, although percutmeous approaches, and more recently, endoscopic sphincterotomy and stent insertion, have succeeded in resolving certain kind of BBF. We are reporting a case of BBF secondary to hepatic resection of hepatocelluar carcinoma which was managed by endoscopic retrograde biliary stenting for keeping optimal bile drainage and surgical operation for resection of recurred tumor and removal of subphrenic abscess, (Korean J Gastrointest Endosc 17: 220-224, 1997)
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