A Case of Bronchobiliary Fistula as a Complication of Radiofrequency Ablation.
10.4046/trd.2012.72.2.228
- Author:
Ji Hyun LEE
1
;
Min Su KIM
;
Jae Gon LEE
;
Dae Sik KIM
;
Hae Jin YANG
;
Dae Hyeon CHO
;
Kyung Woo KANG
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. kangkw9@naver.com
- Publication Type:Case Report
- Keywords:
Bronchial Fistula;
Biliary Fistula;
Catheter Ablation
- MeSH:
Biliary Fistula;
Bronchial Fistula;
Catheter Ablation;
Constriction, Pathologic;
Drainage;
Fistula;
Humans;
Liver;
Middle Aged;
Plastics;
Sphincterotomy, Endoscopic;
Sputum;
Stents
- From:Tuberculosis and Respiratory Diseases
2012;72(2):228-231
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.
