[Bilio-thoracic fistulas of traumatic origin]

Biliothoracic, biliopleural or biliobronchial fistulae are rarely seen after thoracoabdominal traumatism or hepatic or biliary abscess. We report a case of bilio-bronchocutaneous fistula without clinical biliptysis 6 months after hepatic bisegmentectomy for lacerations from thoracoabdominal trauma. The diagnosis was confirmed at cutaneous fistulography. Recovery was complete after a few weeks of drainage alone. This case serves as a basis for discussion of the aetiology of biliothoracic fistulae, the mechanisms of formation and the therapeutic options.