Oettl C, Schima W, Metz-Schimmerl S, Függer R, Mayrhofer T, Herold C J
Department of Radiology, University of Vienna, AKH, Austria.
Eur J Radiol. 1999 Dec;32(3):211-5. doi: 10.1016/s0720-048x(99)00038-8.
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.
支气管胆管瘘（BBF）是指胆道系统与支气管树之间存在异常连通，是半肝切除、创伤、包虫病、胆总管结石及其他胆道梗阻原因后罕见的并发症。我们报告了一例56岁结肠癌男性患者，其在因肝转移行右半肝切除术后2个月发生了支气管胆管瘘。内镜逆行胰胆管造影（ERCP）、计算机断层扫描（CT）和磁共振胆管造影（MRC）检查发现包括胆总管狭窄以及肝切除平面胆汁漏并伴有右肺下叶胆汁浸润。该患者通过内镜插入胆道塑料支架成功治疗，该支架跨越狭窄部位并使瘘口闭合。
