Shim Jae Ryong, Han Sung-Sik, Park Hyung Min, Lee Eung Chang, Park Sang-Jae, Park Joong-Won
Center for Liver Cancer, National Cancer Center, Goyang, Korea.
Ann Hepatobiliary Pancreat Surg. 2018 May;22(2):169-172. doi: 10.14701/ahbps.2018.22.2.169. Epub 2018 May 30.
A bronchobiliary fistula, or a biliobronchial fistula (BBF), is a rare condition. It results from an abnormal connection between the biliary and bronchial trees, and is characterized by pathognomonic bilious sputum with suspicious pneumonia. Traditionally, an infectious disease, such as a hydatid infection, has been known to cause a BBF, but BBFs have recently become associated with tumors. In every case, procedures and treatments differ between centers, from simple conservative management to invasive surgical procedures. This case report presents two patients who had BBF after liver resection. Symptoms of each patients were treated and controlled successfully by percutaneous transhepatic biliary drainage tube insertion. We hope that this report helps in the management of BBF in other cases.
支气管胆管瘘，即胆支气管瘘（BBF），是一种罕见的病症。它是由胆道系统与支气管树之间的异常连接引起的，其特征是咳出具有诊断意义的胆汁样痰液并伴有疑似肺炎。传统上，已知诸如包虫感染等传染病可导致胆支气管瘘，但近来胆支气管瘘已与肿瘤相关联。在每种情况下，各中心的手术和治疗方法各不相同，从简单的保守治疗到侵入性外科手术。本病例报告介绍了两名肝切除术后发生胆支气管瘘的患者。通过经皮经肝胆道引流管置入术成功治疗并控制了每位患者的症状。我们希望本报告有助于其他病例中胆支气管瘘的管理。
