Fischer J D
Department of Surgery, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Can J Surg. 1998 Dec;41(6):470-2.
Fewer than 20 cases of bronchobiliary fistula have been reported in the literature. In this report a newborn female infant was referred for investigation of gastroesophageal reflux. Upper gastrointestinal endoscopy and 24-hour pH monitoring revealed severe reflux. A fundoplication was carried out. In the immediate postoperative period bile was noticed coming from the endotracheal tube. Bronchoscopy revealed an abnormal opening just to the left of the carina. Fistulography and HIDA scanning confirmed the presence of a bronchobiliary fistula. A right thoracotomy was used to divide the fistula. The child made an uncomplicated recovery. Pathological examination of the excised specimen demonstrated tissue most consistent with an esophageal origin.
文献报道的支气管胆管瘘病例少于20例。在本报告中，一名新生女婴因胃食管反流接受检查。上消化道内镜检查和24小时pH监测显示严重反流。进行了胃底折叠术。术后即刻发现有胆汁从气管导管流出。支气管镜检查显示在隆突左侧有一异常开口。瘘管造影和肝胆动态显像证实存在支气管胆管瘘。通过右胸切开术分离瘘管。患儿恢复顺利。切除标本的病理检查显示组织与食管起源最为相符。
