Hansen M, Høier-Madsen K
Ann Chir Gynaecol. 1985;74(1):36-9.
Broncho-biliary fistulae are generally secondary to echinococcal abscesses in the liver, less frequently to trauma, penetrating or not. A third group seems to follow biliary tract obstruction, surgical or non surgical. Congenital broncho-biliary fistulae seem to be extremely rare. We present here a case of broncho-biliary fistula probably secondary to an exacerbation of chronic pancreatitis. Liberal surgical drainage, safe closure of the diaphragm and early surgical intervention are mandatory and are emphasized.
支气管胆管瘘通常继发于肝包虫囊肿,较少由外伤引起,外伤不论是否穿透性。第三组病例似乎继发于外科或非外科的胆道梗阻。先天性支气管胆管瘘似乎极为罕见。我们在此报告一例可能继发于慢性胰腺炎加重的支气管胆管瘘。充分的手术引流、安全关闭膈肌及早期手术干预是必要的,也是重点强调的。