Lugagne P M, Lacaine F, Bonnel D, Ligory C, Huguier M
Department of Surgery, Hopital Tenon, Paris, France.
Surgery. 1988 Jan;103(1):125-9.
A bilioportal fistula is rare. We report the case of a patient who had a bilioportal fistula 6 years after a choledochoduodenostomy. Percutaneous transhepatic opacification showed the bilioportal fistula to be associated with a thrombosed portal vein and a cavernous formation. Treatment consisted of separate percutaneous drainage of the portal and biliary tracts. Closure of the fistula was obtained by progressive proximal intrahepatic portal thrombosis. Our case contrasts with the four other cases of bilioportal fistula published in the literature in that (1) there was an absence of biliary lithiasis and (2) we did not use surgical treatment. The most likely explanation for our case of bilioportal fistula is an infectious complication related to the choledochoduodenostomy.
胆门瘘很罕见。我们报告一例患者，其在胆总管十二指肠吻合术后6年出现胆门瘘。经皮肝穿刺造影显示胆门瘘与门静脉血栓形成及海绵样变有关。治疗包括分别经皮引流门静脉和胆道。通过逐步进行肝内近端门静脉血栓形成实现了瘘口闭合。我们的病例与文献中报道的其他4例胆门瘘病例不同之处在于：（1）无胆石症；（2）我们未采用手术治疗。我们这例胆门瘘最可能的解释是与胆总管十二指肠吻合术相关的感染并发症。
