Smahi M, Serraj M, Achir A, Msougar Y, Benosman A
Service de Chirurgie thoracique, hôpital Ibn Sina, CHU Rabat-Salé, Maroc.
Rev Mal Respir. 2009 Nov;26(9):989-93. doi: 10.1016/s0761-8425(09)73335-2.
Bilio-bronchial fistula of hydatid origin is a rare but serious complication of hepatic hydatid cyst, the treatment of which is now well established.
We report a case of bilateral bilio-bronchial fistula, successfully managed by bilateral thoracotomy with an interval of one week, and complicated by dyspnoea that resolved quickly.
If the indication for thoracotomy is indisputable in case of unilateral bilio bronchial fistula, an initial laparotomy should be considered in the case of bilateral bilio-bronchial fistula.
肝包虫囊肿起源的胆支气管瘘是肝包虫囊肿一种罕见但严重的并发症，其治疗方法现已明确。
我们报告一例双侧胆支气管瘘病例，通过间隔一周的双侧开胸手术成功治疗，且伴有迅速缓解的呼吸困难并发症。
如果单侧胆支气管瘘行开胸手术的指征无可争议，那么双侧胆支气管瘘病例应首先考虑剖腹手术。
