Open AccessPost-traumatic bronchobiliary fistula
Author(s) -
Niladri Banerjee,
Amulya Rattan,
Pratyusha Priyadarshini,
Subodh Kumar
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228294
Subject(s) - medicine , pathognomonic , gold standard (test) , laparotomy , bronchoscopy , blunt , bronchoalveolar lavage , surgery , blunt trauma , fistula , general surgery , radiology , lung , pathology , disease
Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.