Galindo Orrego Pablo, Bejarano Rengifo Janeth, Labrador López Christian, Hernández Cely Geovanny, Beltrán Galvis Oscar Alfredo, Garzón Olarte Martín Alonso, Ponce de León Chaux Enrique, Ceballos Hurtado Jorge Alberto, Salinas Gómez Diana Carolina, Varón Puerta Adriana
Universidad del Rosario. Bogotá, Colombia.
Servicio de Gastroenterología y Endoscopia Digestiva, Fundación Cardioinfantil, Instituto de Cardiología. Bogotá, Colombia.
Rev Gastroenterol Peru. 2017 Oct-Dec;37(4):391-393.
Bronchobiliary fistula (BBF) is an abnormal communication between the biliary tract and the bronchial tree. Is an infrequent condition, usually secondary to a local infectious process or a traumatic event. Bilioptisis is pathognomonic. We present the case of a 37 year old woman with secondary biliary cirrhosis, in list for liver transplantation, with several episodes of cholangitis and carrier of external biliary diverivation, who presented bilioptisis and HIDA scintigraphy with SPECT confirmed BBF. This case was resolved with percutaneous derivation of the biliary tract.
支气管胆管瘘（BBF）是胆道与支气管树之间的异常通道。这是一种罕见的病症，通常继发于局部感染过程或创伤事件。胆汁咳出具有诊断意义。我们报告一例37岁患有继发性胆汁性肝硬化的女性病例，该患者正在等待肝移植，有多次胆管炎发作史且有体外胆道引流，出现了胆汁咳出，经单光子发射计算机断层扫描（SPECT）的肝胆动态显像证实为支气管胆管瘘。该病例通过经皮胆道引流得以解决。
