Department of Thoracic Surgery, University Clinical Center Maribor, Maribor, Slovenia.
Radiol Oncol. 2013 Mar;47(1):77-85. doi: 10.2478/raon-2013-0003. Epub 2013 Feb 1.
Thoracobiliary fistulas are pathological communications between the biliary tract and the bronchial tree (bronchobiliary fistulas) or the biliary tract and the pleural space (pleurobiliary fistulas).
We have reviewed aetiology, pathogenesis, predilection formation points, the clinical picture, diagnostic possibilities, and therapeutic options for thoracobiliary fistulas.
A patient with an iatrogenic bronchobiliary fistula which developed after radiofrequency ablation of a colorectal carcinoma metastasis of the liver is present. We also describe the closure of the bronchobiliary fistula with the greater omentum as a possible manner of fistula closure, which was not reported previously according to the knowledge of the authors.
Newer papers report of successful non-surgical therapy, although the bulk of the literature advocates surgical therapy. Fistula closure with the greater omentum is a possible method of the thoracobiliary fistula treatment.
胸胆瘘是胆道与支气管树（胆支瘘）或胆道与胸膜腔（胆胸瘘）之间的病理性通道。
我们回顾了胸胆瘘的病因、发病机制、易形成部位、临床表现、诊断可能性和治疗选择。
我们报告了 1 例因射频消融治疗肝转移结直肠癌后发生医源性胆支瘘的患者。我们还描述了使用大网膜封闭胆支瘘的方法，据作者所知，这在以前的文献中尚未报道。
尽管大多数文献主张手术治疗，但新的文献报告了成功的非手术治疗。使用大网膜封闭胸胆瘘是一种可行的治疗方法。
