Brem H, Gibbons G D, Cobb G, Edgin R A, Ellison E C, Carey L C
Ohio Digestive Disease Institute, Grant Medical Center, Columbus.
Gastroenterology. 1990 Feb;98(2):490-2. doi: 10.1016/0016-5085(90)90843-p.
Bronchobiliary fistula is a rare disorder consisting of the formation of a passageway between the biliary ducts and the bronchial tree. We describe an 87-yr-old woman who had a bronchobiliary fistula secondary to obstruction caused by multiple common bile duct stones. The diagnosis was confirmed by the presence of bile in the sputum and transhepatic cholangiography. Successful stone extraction with balloon and basket techniques and endoscopic sphincterotomy decompressed the biliary tract and was followed by healing of the bronchobiliary fistula without surgical intervention, which has heretofore been considered the only successful means of treatment.
支气管胆管瘘是一种罕见的疾病，其特征是在胆管和支气管树之间形成通道。我们报告一名87岁女性，她因多发性胆总管结石导致梗阻继发支气管胆管瘘。痰液中发现胆汁以及经肝胆管造影术证实了诊断。采用球囊和网篮技术成功取石并进行内镜括约肌切开术使胆道减压，随后支气管胆管瘘未经手术干预而愈合，此前手术一直被认为是唯一成功的治疗方法。
