Related Experiment Video
Updated: Jan 5, 2026
Robotic Taj Mahal Hepatectomy for Hilar Cholangiocarcinoma
Published on: July 14, 2022
Bronchobiliary fistula after ramucirumab treatment for advanced gastric cancer: A case report
Hong-Beum Kim1, Yong Sub Na2, Hee-Jeong Lee3
1Department of Premedical Course, Chosun University School of Medicine, Dong-gu, Gwangju 501-717, South Korea.
Background:
Bronchobiliary fistula (BBF) is a rare disease characterized by an abnormal connection between the biliary system and bronchi. Traditional causes of BBF include trauma and infections, and more recent causes include malignancies and certain cancer treatments. Ramucirumab is an antivascular endothelial growth factor receptor 2 monoclonal antibody, currently used as a second-line treatment for gastric cancer.
Case Summary:
A 43-year-old man visited our hospital with the complaint of jaundice. He was diagnosed with inoperable advanced gastric cancer owing to invasion of the hepatic hilum by the tumor. After percutaneous transhepatic biliary drainage (PTBD) and stent placement, capecitabine and oxaliplatin were administered as first-line palliative chemotherapy. The tumor progressed, and paclitaxel and ramucirumab were administered as second-line chemotherapy. However, on the first day of the second cycle, the patient suddenly developed dyspnea and pneumonia. BBF was diagnosed on the basis of the presence of bilious sputum and the results of computed tomography, and PTBD was repeated.
Conclusion:
This is the first report of BBF after administration of the new antiangiogenic agent ramucirumab.
