Postgraduate School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy.
Department of Radiology, Istituto Nazionale dei Tumori, Milan, Italy.
J Radiol Case Rep. 2020 Oct 31;14(10):10-15. doi: 10.3941/jrcr.v14i10.3743. eCollection 2020 Oct.
Bronchobiliary fistula (BBF) is a rare condition that results from the communication between the bile ducts and the bronchial tree. It is characterized by the presence of bile in the sputum as pathognomonic symptom, and it is often associated with suspicious pneumonia. The most common causes include infections (e.g. echinococcosis), hepatobiliary surgery, blunt torso traumas, tumors and percutaneous transhepatic procedures. Opinions about BBF treatment are still controversial as it can be treated by both conservative and surgical procedures, while pharmacological treatments are only rarely used. This case report presents a patient who had been diagnosed with chronic BBF of unknown cause, underwent several ineffective conservative procedures and was at last surgically treated.
支气管胆瘘（BBF）是一种罕见的病症，是由于胆管和支气管之间的沟通而导致的。其特征在于痰液中存在胆汁，这是一种特征性症状，常与可疑肺炎有关。最常见的原因包括感染（如包虫病）、肝胆手术、钝性胸外伤、肿瘤和经皮经肝介入治疗。对于 BBF 的治疗，意见仍然存在争议，因为它可以通过保守和手术治疗，而药物治疗则很少使用。本病例报告介绍了一位被诊断为慢性 BBF 的患者，其病因不明，曾接受过几次无效的保守治疗，最终接受了手术治疗。
