Bronchobiliary fistula and cholangiocarcinoma: a case report and principles of management
S Delande1, P Goffette, C Verbaandert
1Centre du Cancer, Medical oncology Unit, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
Abstract:
A 64-year-old woman was admitted with fever and cough. At admission, she had jaundice, hepatomegaly, and green-stained sputum. Computed tomography (CT) showed an intrahepatic abscess located near the dome, multiple hepatic metastases, biliary tract dilatation, and a right pleural effusion. Percutaneous transhepatic cholangiography demonstrated a communication between the intrahepatic biliary ducts and the bronchial tree. The patient was treated with antibiotic therapy, pleural and biliary drainages and a percutaneous drainage of the hepatic abscess.
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