Cholecystobronchocolic Fistula: A Late Complication of Biliary Sepsis
Author(s) -
Donald A. Collie,
D N Redhead,
O. James Garden
Publication year - 1994
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1994/39724
Subject(s) - medicine , complication , fistula , biliary fistula , surgery , sepsis , respiratory failure , percutaneous , bronchospasm , percutaneous transhepatic cholangiography , radiology , asthma
A case of a 48 year old woman presenting with bilioptysis due to a cholecystobronchocolic fistula is reported. Bilioptysis is a rare complication of biliary fistulae, with a high mortality due to chemical pneumonitis. Bronchospasm and rapid respiratory failure may ensue if aggressive management is not adopted. The site of fistulation is established by cholangiography, preferably by the percutaneous transhepatic route. Continued biliary drainage can lead to closure of these fistulae, or allow sufficient improvement in clinical condition to allow definitive surgery to be performed electively.
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