Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula
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Sixty-four-year-old female who underwent hemi-hepatectomy for intrahepatic cholangiocarcinoma a year ago presented with biliary sputum, cough and fever. Cross-sectional imaging showed a recurred tumor involving right diaphragmatic area and an abscess formation in liver dome with adjacent right lower lobe of lung. Percutaneous transhepatic biliary drainage and percutaneous drainage of lung abscess were performed. Tubogram showed connections between the lung abscess cavity and multiple distal bronchi, suggesting bronchobiliary fistulas. Two weeks of drainage treatment did not relieve symptoms. We successfully treated intractable bronchobiliary fistula via image-guided percutaneous access to closest distal bronchi near abscess with subsequent tandem placement of vascular plugs.
KeywordsBronchobiliary fistula Bronchial embolization Vascular plug
Compliance with Ethical Standards
Conflict of Interest
The authors have no conflict of interests or financial disclosures.
Consent for publication was obtained for patient data included in the study.