Sarr M G, Smith G W, DeLeon E F
Arch Surg. 1985 Dec;120(12):1376-80. doi: 10.1001/archsurg.1985.01390360042010.
Biliary-bronchial fistula is an extremely unusual complication of thoracoabdominal trauma or suppurative hepatobiliary disease. We treated a patient with a biliary-bronchial fistula that developed after right hepatectomy for an infected traumatic intrahepatic hematoma. The diagnosis of biliary-bronchial fistula was confirmed by percutaneous transhepatic cholangiography. Surgical therapy included a primary transabdominal choledochostomy, with the insertion of a T-tube, sphincteroplasty, and open marsupialization of the chronic subphrenic abscess.
胆支气管瘘是胸腹外伤或化脓性肝胆疾病极为罕见的并发症。我们治疗了一名因感染性创伤性肝内血肿行右肝切除术后发生胆支气管瘘的患者。经皮经肝胆管造影术确诊为胆支气管瘘。手术治疗包括一期经腹胆总管造口术，插入T形管，括约肌成形术，以及慢性膈下脓肿切开引流术。
