Thouil Afaf, Bouhout Tariq, Rhazari Meriem, Serji Badr, Kouismi Hatim
Department of Respiratory Diseases, Research and Medical Sciences Laboratory, Faculty of Medicine and Pharmacy of Oujda, Mohammed VI University Hospital, Mohammed First University, Oujda, MAR.
Department of Surgical Oncology, Mohammed VI University Hospital, Regional Oncology Center, Oujda, MAR.
Cureus. 2023 Aug 2;15(8):e42842. doi: 10.7759/cureus.42842. eCollection 2023 Aug.
The presence of a bilio-bronchial fistula (BBF) of hydatid origin is considered a serious complication as it can lead to significant injuries at the abdominal, diaphragmatic, and thoracic levels. Here, we report the case of a 70-year-old patient presenting with biliptysis as a symptom and whose thoracic and abdominal CT scan confirmed the presence of a right BBF. The management consisted of an initial endoscopic sphincterotomy, followed by an exclusive left thoracotomy surgery to treat lung, liver, and diaphragmatic injuries. Fortunately, the evolution was favorable with the disappearance of the biliptysis. To diagnose a BBF, it is crucial to conduct a precise assessment, focusing mainly on imaging to accurately locate the injury before any surgical intervention.
源自包虫病的胆支气管瘘（BBF）的存在被认为是一种严重的并发症，因为它可导致腹部、膈肌和胸部层面的重大损伤。在此，我们报告一例70岁患者，以咯胆痰为症状，其胸部和腹部CT扫描证实存在右侧BBF。治疗措施包括最初的内镜下括约肌切开术，随后进行单纯左胸切开手术以治疗肺、肝和膈肌损伤。幸运的是，病情进展顺利，咯胆痰消失。要诊断BBF，关键是要进行精确评估，主要侧重于成像，以便在任何手术干预之前准确确定损伤位置。
