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Bile in bronchi: A case report.

Yong-Fei He1, Tian-Yi Liang1, Shu-Tian Mo1

  • 1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi Zhuang Autonomous Region, People's Republic of China.

Respiratory Medicine Case Reports
|June 4, 2020
PubMed
Summary
This summary is machine-generated.

Biliary bronchial fistula, a rare condition, can present with symptoms like yellow-green sputum. This case highlights a successful treatment approach for this challenging diagnosis.

Keywords:
BBF, Broncho biliary fistulaBiliary bronchial fistulaCoughERCP, endoscopic retrograde cholangiographyHRCT, High-resolution computed tomographyMRCP, magnetic resonance cholangiopancreatographyPTCD, percutaneous transhepatic cholangial drainageYellow-green sputum

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Area of Science:

  • Medicine
  • Gastroenterology
  • Pulmonology

Background:

  • Biliary bronchial fistula is an uncommon and challenging clinical diagnosis.
  • This condition involves an abnormal connection between the biliary tract and the bronchial tree.

Observation:

  • A 49-year-old woman presented with a biliary bronchial fistula, characterized by productive cough with yellow-green sputum.
  • The abscess cavity was located below the diaphragm, precluding standard catheter drainage.

Findings:

  • The patient received anti-infection treatment, which led to a reduction in sputum production.
  • The case demonstrates a favorable prognosis following appropriate medical intervention.

Implications:

  • This case underscores the importance of considering biliary bronchial fistula in patients with relevant symptoms.
  • Effective management, including anti-infection therapy, can lead to positive outcomes for this rare condition.