Achalla Lakshmi Sai Vijay, Shinde Raju K, Jogdand Sangita D, Anand Anupam, Vodithala Sahitya
General Surgery, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Pharmacology, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Jul 2;14(7):e26514. doi: 10.7759/cureus.26514. eCollection 2022 Jul.
Bronchobiliary fistula (BBF) is a rare complication encountered by surgeons, most commonly during the follow-up of surgically managed patients with inflammatory, traumatic, or neoplastic pathologies involving the hepatobiliary tree. We present an operated case of liver hydatidosis with biliary stent obstruction with complaints of bitter green colored sputum and upper abdominal pain. The patient underwent an ERCP-guided stent extraction with reinsertion of a common bile duct stent with complete removal after six weeks. Post operatively, the patient is doing well on follow-up. This complication could be prevented by regular follow-up and timely removal of the placed stents, as a prolonged stay of stent insitu could lead to blockage, leading to complications such as bronchobiliary fistula. Thus, it is concluded that judicious follow-up plays a pivotal role, and timely removal of the stents could prevent such avoidable delayed complications.
支气管胆管瘘（BBF）是外科医生遇到的一种罕见并发症，最常见于对患有涉及肝胆系统的炎症、创伤或肿瘤性疾病的手术治疗患者进行随访期间。我们报告一例肝包虫病合并胆道支架梗阻的手术病例，患者有苦绿色痰液和上腹部疼痛的主诉。患者接受了内镜逆行胰胆管造影（ERCP）引导下的支架取出术，并重新插入胆总管支架，六周后完全取出。术后，患者在随访中情况良好。这种并发症可以通过定期随访和及时取出放置的支架来预防，因为支架在原位停留时间过长可能导致堵塞，进而引发支气管胆管瘘等并发症。因此，可以得出结论，明智的随访起着关键作用，及时取出支架可以预防此类可避免的延迟并发症。
