Bronchobiliary fistula evaluated with magnetic resonance imaging

Area of Science:

• Gastroenterology and Hepatology
• Thoracic Surgery
• Medical Imaging

Background:

• Bronchobiliary fistula (BBF) is a rare condition characterized by an abnormal connection between the biliary ducts and the bronchial tree.
• BBF can arise from various underlying causes, complicating diagnosis and management.
• High morbidity and mortality rates are associated with BBF, necessitating effective treatment strategies.

Observation:

• A 74-year-old male patient developed a bronchobiliary fistula following a hemihepatectomy.
• The patient's condition presented diagnostic challenges due to the rare nature of BBF.
• Magnetic resonance cholangiopancreatography (MRCP) was utilized to visualize the fistula.

Findings:

• Endoscopic biliary drainage was employed as the primary treatment modality for the BBF.
• The endoscopic approach proved effective in managing the complex fistula.
• MRCP findings were crucial in delineating the anatomy of the bronchobiliary fistula.

Implications:

• This case demonstrates the successful application of endoscopic biliary drainage in managing post-surgical BBF.
• Effective visualization and management of BBF can be achieved through advanced imaging like MRCP.
• Minimally invasive endoscopic techniques offer a viable treatment option for rare conditions like BBF, potentially reducing patient morbidity.