Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula

  • Seowoo Lee
  • Jae Hwan LeeEmail author
  • Hyun Beom Kim
  • In Joon Lee
Case Report


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.


Bronchobiliary fistula Bronchial embolization Vascular plug 


Compliance with Ethical Standards

Conflict of Interest

The authors have no conflict of interests or financial disclosures.

Informed Consent

Consent for publication was obtained for patient data included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  1. 1.Department of RadiologySeoul National University HospitalSeoulRepublic of Korea
  2. 2.Department of Radiology, Center for Liver CancerNational Cancer CenterGoyang-siRepublic of Korea

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